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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">lvrach</journal-id><journal-title-group><journal-title xml:lang="ru">Лечащий Врач</journal-title><trans-title-group xml:lang="en"><trans-title>Lechaschi Vrach</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-5175</issn><issn pub-type="epub">2687-1181</issn><publisher><publisher-name></publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51793/OS.2021.24.12.001</article-id><article-id custom-type="elpub" pub-id-type="custom">lvrach-853</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ГИНЕКОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>GYNECOLOGY</subject></subj-group></article-categories><title-group><article-title>Как жить пожилой женщине с выпадением половых органов?</article-title><trans-title-group xml:lang="en"><trans-title>How to live an elderly woman with prolapse of the genitals?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7591-6281</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хашукоева</surname><given-names>А. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Hashukoeva</surname><given-names>A. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хашукоева Асият Зульчифовна – доктор медицинских наук, профессор кафедры акушерства и гинекологии.</p><p>117997, Москва, ул. Островитянова, 1.</p></bio><bio xml:lang="en"><p>Asiyat Z. Hashukoeva - Dr. of Sci. (Med.), Professor of the Department of Obstetrics and Gynecology at the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.</p><p>1 Ostrovityanova str., Moscow, 117997.</p></bio><email xlink:type="simple">azk05@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кузнецова Ольга Викторовна – кандидат медицинских наук, доцент кафедры акушерства и гинекологии.</p><p>117997, Москва, ул. Островитянова, 1.</p></bio><bio xml:lang="en"><p>Olga V. Kuznetsova - MD, Associate professor of the Department of Obstetrics and Gynecology at the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.</p><p>1 Ostrovityanova str., Moscow, 117997.</p></bio><email xlink:type="simple">doctor_olja1973@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4629-9074</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оверко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Overko</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Оверко Алексей Вячеславович - студент лечебного факультета.</p><p>117997, Москва, ул. Островитянова, 1.</p></bio><bio xml:lang="en"><p>Aleksey V. Overko - student at the medical faculty of the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.</p><p>1 Ostrovityanova str., Moscow, 117997.</p></bio><email xlink:type="simple">arabakor@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0523-846X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дмитрашко</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Dmitrashko</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дмитрашко Татьяна Евгеньевна - ассистент кафедры акушерства и гинекологии РНИМУ им. Н.И. Пирогова Минздрава России; врач акушер-гинеколог РГНКЦ РНИМУ им. Н.И. Пирогова Минздрава России.</p><p>117997, Москва, ул. Островитянова, 1; 129226, Москва, ул. 1-я Леонова, 16.</p></bio><bio xml:lang="en"><p>Tatiana E. Dmitrashko - Assistant of the Department of Obstetrics and Gynecology at the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation; obstetrician gynecologist at the Russian Gerontological Research and Clinical Center of the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.</p><p>1 Ostrovityanova str., Moscow, 117997; 16 1st Leonova str., Moscow, 129226.</p></bio><email xlink:type="simple">lesnoy_elf@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>РНИМУ им. Н. И. Пирогова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>РНИМУ им. Н.И. Пирогова Минздрава России; РГНКЦ РНИМУ им. Н.И. Пирогова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation; Russian Gerontological Research and Clinical Center of the Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>13</day><month>01</month><year>2022</year></pub-date><volume>0</volume><issue>12</issue><fpage>10</fpage><lpage>16</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Хашукоева А.З., Кузнецова О.В., Оверко А.В., Дмитрашко Т.Е., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Хашукоева А.З., Кузнецова О.В., Оверко А.В., Дмитрашко Т.Е.</copyright-holder><copyright-holder xml:lang="en">Hashukoeva A.Z., Kuznetsova O.V., Overko A.V., Dmitrashko T.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.lvrach.ru/jour/article/view/853">https://journal.lvrach.ru/jour/article/view/853</self-uri><abstract><p>Несмотря на значительное развитие  современной медицины, проблема  пролапса органов  малого таза не теряет своей актуальности и по сей день. Симптомокомплекс, который возникает при изменении анатомии тазового дна и органов малого таза, существенно  ухудшает качество жизни пациенток. Это обстоятельство  особенно  важно учитывать у женщин старшей возрастной  группы. Безусловно, повышенного внимания требуют все пациентки, страдающие пролапсом  тазовых органов, который может быть диагностирован в различных возрастных категориях. Однако особую обеспокоенность вызывает состояние  пациенток именно постменопаузального периода. Это обусловлено тем, что в старшем возрасте происходят значительные изменения в организме женщины, которые выступают провоцирующими или усугубляющими  факторами в развитии пролапса тазовых органов. Одним из основных аспектов у таких пациенток является состояние гипоэстрогении. Кроме того, в старшем возрасте встречается  большое количество других соматических заболеваний, которые  оказывают существенное влияние на прогрессирование патологического процесса. Также необходимо  учитывать,  что современная женщина практически треть своей жизни проводит в постменопаузальном периоде. Поэтому перед врачами стоит серьезная задача по достижению должного  качества жизни  возрастных  пациенток. В настоящее время причины, приводящие к развитию пролапса, известны, однако окончательного ответа относительно этиологии данного заболевания до сих пор нет. Это обстоятельство диктует необходимость дальнейшего глубокого и детального  изучения проблемы пролапса, а также поиска более совершенных диагностических и лечебных  методик. Внедрение в клиническую практику новых методов и подходов будет способствовать своевременной  диагностике заболевания и адекватному лечению, что существенно повлияет на состояние здоровья пациенток постменопаузального периода и позволит начать жить полноценной жизнью.</p></abstract><trans-abstract xml:lang="en"><p>In spite of the significant development of modern medicine, the problem of pelvic organ prolapse does not lose its actuality nowadays. Complex of symptoms that occurs when the anatomy of the pelvic floor and pelvic organs changes greatly decrease the quality of patients lives. This circumstance is especially important to take into account in older women. Certainly increased attention is required by all patients suffering from pelvic organ prolapse, which can be diagnosed in different age categories. However, the condition of postmenopausal patients is of particular concern. This is due to the fact that at an older age, significant changes occur in a woman's body, which act as provoking or aggravating factors in the development of pelvic organ prolapse. One of the main aspects of such patients is the state of hypoestrogenism. Besides, at an older age there are a large number of other extra genital pathology somatic diseases that influence significantly on the progression of the pathological process. It is also necessary to take into account that a modern woman spends almost a third of her life in the postmenopausal period. That is why doctors face a serious challenge to achieve the proper quality of life of age-related patients. Nowadays the causes leading to the development of prolapse are known, but there is still no definitive answer regarding the etiology of this disease. This circumstance dictates the necessity for further in-depth and detailed studying the problem of prolapse, as well as the search for more advanced diagnostic and therapeutic techniques. The introduction of new methods and approaches into clinical practice will contribute to the timely diagnosis of the disease and adequate treatment, which will significantly affect the health of postmenopausal patients and will allow them to start living a full life.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пролапс органов малого таза</kwd><kwd>гинекологическая патология</kwd><kwd>заболевания пожилых</kwd><kwd>выпадение половых органов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pelvic organ prolapse</kwd><kwd>gynecological pathology</kwd><kwd>diseases of the elderly</kwd><kwd>prolapse of the genitals</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Сейкина В. А., Жаркин Н. 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