Prognostic factors of recurrence of genital prolapse

Aim of the study: to develop the criteria for selection of patients for optimal surgical treatment of genital prolapse using autologous tissue or polypropylene meshes with a vaginal approach. Material and methods. We performed a prospective study which included 93 patients (age: 46-81 years), who were divided in two groups: group 1 (n=43) - transvaginal operation using autologous tissue; group 2 (n=50) -transvaginal extraperitoneal colpopexy with a perforated extra-light (surface density 19 g/m2) polypropylene mesh (Russian Federation patent №2538796, invention claim №2013102790/14 made on 05.02.2013, published on 10.01.2015). All patients underwent combined clinical and instrumental work-up, including pelvic floor ultrasonography, prior to surgery. Results. Six months after the surgery prolapse recurrence was found in 55,8% patients from group I and in 10,0% patients from group II (p