Modern methods of surgical correction of pelvic organ prolapse. Problems and prospects: a literature review
Malushko A.V., Shchedrina I.D., Suvorina O.V., Fatkullina I.B., Alekseev S.M., Nazarikova N.V., Niauri D.A., Gzgzyan A.M., Dzhemlikhanova L.Kh., Silakova V.R.
Despite many years of experience with surgical interventions for the treatment of pelvic organ prolapse (POP), their effectiveness remains insufficient. This is attributable to the significant number of complications arising during and after surgery, as well as frequent recurrences, necessitating improved pelvic floor surgery techniques for POP. This review is aimed to summarization of current data and comparison of the effectiveness of various surgical correction methods for POP, identifying their key advantages and disadvantages. A literature search was conducted in PubMed/MEDLINE and eLibrary.ru using the keywords «pelvic organ prolapse,» «surgical treatment of POP,» «mesh implants,» «pelvic floor dysfunction,» «implant-associated complications,» and «vaginal surgery.» The review included 58 publications from the past seven years (2019–2025). The article analyzes current approaches to surgical correction of POP in women. An analysis of scientific studies has shown that the surgical techniques used are highly effective; however, their use in certain patient groups remains controversial due to the risk of postoperative complications or recurrence.
For citations: Malushko A.V., Shchedrina I.D., Suvorina O.V., Fatkullina I.B., Alekseev S.M., Nazarikova N.V., Niauri D.A., Gzgzyan A.M., Dzhemlikhanova L.Kh., Silakova V.R. Modern methods of surgical correction of pelvic organ prolapse. Problems and prospects: a literature review. Pharmateca. 2026;33(4):145-152. (In Russ.). DOI: https://dx.doi.org/10.18565/pharmateca.2026.4.145-152
Authors’ contribution: A.V. Malushko, I.B. Fatkullina, S.M. Alekseev, D.A. Niauri – study concept and design. I.D. Shchedrina, O.V. Suvorina, N.V. Nazarikova, A.M. Gzgzyan, L.Kh. Dzhemlikhanova, V.R. Silakova – data collection and processing. I.D. Shchedrina, O.V. Suvorina, N.V. Nazarikova – data analysis and writing.
Conflicts of interest: The authors confirm that they have no conflicts of interest to declare.
Funding: The study was conducted without any sponsorship.
Keywords
pelvic organ prolapse
surgical treatment of pelvic organ prolapse
mesh implants
pelvic floor dysfunction
implant-associated complications
vaginal surgery
About the Authors
Anton V. Malushko, Obstetrician-Gynecologist, Head of the Gynecology Department, Leningrad Regional Clinical Hospital, St. Petersburg, Russia; a-malushko@mail.ru, ORCID: https://orcid.org/0000-0001-8388-9586Irina D. Shchedrina, Cand. Sci. (Med.), Obstetrician-Gynecologist, Gynecology Department, Leningrad Regional Clinical Hospital, St. Petersburg, Russia; forgottenz@mail.ru, ORCID: https://orcid.org/0000-0003-1624-4600 (corresponding author)
Olesya V. Suvorina, Obstetrician-Gynecologist, Gynecology Department, Leningrad Regional Clinical Hospital, St. Petersburg, Russia; olesya-suvorina@mail.ru
Irina B. Fatkullina, Dr. Sci. (Med.), Deputy Chief Physician for Obstetrics and Gynecology, Republican Clinical Perinatal Center of the Ministry of Health of the Republic of Bashkortostan; Professor, Department of Obstetrics and Gynecology No. 2, Bashkir State Medical University, Ufa, Russia; fib1971@mail.ru
Sergey M. Alekseev, Cand. Sci. (Med.), Chief External Expert in Oncology and Hematology of the Leningrad Region, Chief Physician, Leningrad Regional Clinical Hospital, St. Petersburg, Russia; bmt312@gmail.com, ORCID: https://orcid.org/0000-0001-8817-2082
Natalya V. Nazarikova, Obstetrician-Gynecologist, Gynecology Department, Leningrad Regional Clinical Hospital, St. Petersburg, Russia; nazarikova0093@mail.ru
Dariko A. Niauri, Dr. Sci. (Med.), Professor, Head of the Department of Obstetrics, Gynecology, and Reproductive Medicine, Saint Petersburg State University, Saint Petersburg, Russia; d.niauri@mail.ru, ORCID: https://orcid.org/0000-0003-1556-248X; eLibrary SPIN: 4384-9785
Aleksandr M. Gzgzyan, Dr. Sci. (Med.), Professor, Department of Obstetrics, Gynecology, and Reproductive Medicine, Saint Petersburg State University, Saint Petersburg, Russia; agzgzyan@gmail.com, ORCID: https://orcid.org/0000-0003-3917-9493, eLibrary SPIN: 6412-4801
Lyailya Kh. Dzhemlikhanova, Dr. Sci. (Med.), Associate Professor, Department of Obstetrics, Gynecology, and Reproductive Medicine, Saint Petersburg State University, Saint Petersburg, Russia; dzhemlikhanova_l@mail.ru, ORCID: https://orcid.org/0000-0001-6842-4430, eLibrary
SPIN: 1691-6559
Valeria R. Silakova, Student, I.M. Sechenov First Moscow State Medical University (Sechenov University), N.V. Sklifosovsky Institute of Clinical Medicine, Moscow, Russia; lerasilakova1108@gmail.com
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