OPPORTUNITIES FOR ORGAN-PRESERVING RECONSTRUCTIVE SURGERY IN SEVERE FEMALE GENITAL PROLAPSE

Abstract

This monograph addresses severe female genital prolapse and the clinical potential of organ-preserving reconstructive surgery. The main focus is on selecting surgical tactics that provide not only anatomical correction but also functional recovery and better quality of life. The work presents a structured preoperative assessment model (symptoms, POP-Q staging, functional evaluation), criteria for choosing organ-preserving approaches, and principles of compartment-based surgical planning. Outcomes are assessed using an integrated framework that includes anatomical results, urinary/bowel/sexual function, patient-centered indicators, and complication profile at early, 6-month, and 1-year follow-up.

The monograph concludes that individualized organ-preserving reconstructive surgery is a clinically justified and effective strategy for severe female genital prolapse, with meaningful benefits for long-term stability and patient quality of life.