Integrative objective assessment of functional state of women after radical prostatectomy in their husbands

• Artem G. Penzhoyan
• Grigoriy A. Penzhoyan
• Vladimir M. Pokrovskii
• Saida K. Ahejak-Naguse
• Yulia V. Kashina
• Valery G. Abushkevich
• Irina L. Cherednik

Abstract

The aim - integratively objectively evaluate the functional state of the female body after radical prostatectomy in their husbands.

Material and methods. Observations were made on 50 women a week and 6 months after their husbands were discharged from the hospital after radical prostatectomy performed laparotomically (main group) and 50 women with healthy husbands (comparison group). Among women of the main group, after 6 months after radical prostatectomy, 20 husbands had erectile dysfunction. In the observed functional test and determined the parameters of cardio-respiratory synchronism. And according to them, the index of regulatory adaptive status was calculated, and according to it, regulatory adaptive capabilities. According to heart rate variability, a total assessment of regulatory systems was performed. The data were processed by parametric statistical methods.

Results. Compared to the control group, women of the main group had "satisfactory" regulatory and adaptive capabilities ("good" in the control group). This was due to a lower index of regulatory and adaptive status by 41.2%, due to a smaller synchronization range by 21.8% and an increase in the duration of synchronization development by 33.1%. In women of the main group, according to the variability of the heart rhythm, a state of functional tension was noted (in the control "norm"). After 6 months, with the restoration of erectile function in husbands in 30 women,compared with women in the control group, the range of cardiorespiratory synchronism, the duration of synchronization development, the index of regulatory and adaptive status, and regulatory and adaptive capabilities were restored. This is evidenced by the data of the total assessment of the regulatory systems of the body by heart rate variability. The husbands of these women retained a neurovascular bundle during prostatectomy. In 20 women with husbands with erectile dysfunction, the index of regulatory adaptive status decreased by 81.8%. Regulatory and adaptive capabilities became low.

Gonclusion. Integratively objective assessment of the functional state of the female body after radical prostatectomy in their husbands is possible by the index of regulatory adaptive status, regulatory adaptive capabilities and the total assessment of regulatory systems by heart rate variability.

Keywords:regulatory and adaptive capabilities of the female body

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