The effectiveness of conservative treatment of genital prolapse after childbirth with the use of a vaginal training device
Dobrokhotova Yu.E., Ilyina I.Yu.

Russian National Research Medical University named after N.I. Pirogov, Moscow 

The aim of the study was to evaluate the efficacy of conservative outpatient treatment of early stages of genital prolapse in women with the use of Magic Kegel-Master (vaginal training device).
Patients and methods: the patients were divided into two groups, each group included 20 patients after 2-5 months after physiological delivery. In group 1, a vaginal training device was used for 6 months, in the second group, a dynamic observation was performed. Patients completed the PFDI-20 questionnaire, POP-Q classification was used to quantify prolapse, the turgor of the perineum was assessed during gynecological examination, a cough test and the perineal ultrasound was performed. 
Results of the study: in group 1 after 3 months, 9 patients (45%) had complaints, after 6 months 4 patients had complaints about discomfort in the vagina (20%) and 1 patient had symptoms of stress urinary incontinence (5%). In group 2, after 3 months, 14 patients (70%) had complaints, after 6 months - 9 (45%) patients. 3 months later, in group 1 the number of complaints decreased by 2 times, after 6 months by 5 times, and the incidence of symptoms of stress incontinence by 8 times. In group 2 there was a decrease in the number of complaints by 1.4 times, in 6 months – by 2 times, the same situation was observed with stress urinary incontinence. In group 1, according to PFDI-20, after 3 months the score was 26.6 ± 7.3, after 6 months - 17.2 ± 4.2 points, in 2 groups after 3 months - 45.2 ± 13.2, after 6 months - 30.3 ± 11.3 points. Decrease in perineum turgor after 3 and 6 months was more often observed at patients of group 2.
Conclusion: to prevent genital prolapse, it is advisable to use the vaginal training device for training the muscles of the perineum, which will reliably restore muscle tone after delivery.

Key words: genital prolapse, incompetence of perineal muscles, urinary incontinence, foreign body sensation in the vagina, heaviness in the lower abdomen, vaginal training device, lactation period, cough test, PFDI-20 questionnaire.
For citation: Dobrokhotova Yu.E., Ilyina I.Yu. The effectiveness of conservative treatment of genital prolapse after childbirth with the use of a vaginal training device // RMJ. 2017. № 26. P. 1908–1912.