DIAGNOSIS OF ARTIFICIAL VAGINAL MICROBIOCENOSIS IN PATIENTS AFTER SIGMOIDAL COLPOPOIESIS

The article presents the latest research facts about the artificial vagina, its microbiocenosis and changes in the pH of the environment after sigmoid colpopoiesis. It was revealed that the composition of the microflora of the neovagina differs from the microflora of the vagina. When studying the state of neovagina, the development of bacterial vaginosis was established, which is accompanied by a sharp decrease in the concentration of physiological bacterial flora that metabolizes glycogen, primarily lactobacilli. Against this background, the level of populations of obligate and facultative anaerobic microorganisms is noticeably increasing, among which Gardnerella vaginalis, Mobiluncus spp., etc. can be distinguished. In inflammatory diseases of neovagina, the role of conditionally pathogenic flora increases, characterized by an increase in the resistance of pathogens to drug therapy, a high frequency of recurrence and chronization, which creates significant difficulties in the treatment of patients.