Vlagalishchnaya ektopiya naruzhnogo otverstiya uretry kak odna iz prichin khronicheskogo retsidiviruyushchego tsistita u zhenshchin: diagnostika i lechenie

Ectopia of the urethral opening (female hypospadia) often causes chronic recurrent cystitis in women because of a retrograde delivery of urogenital infection from the introitus and vagina to the short wide urethra and urinary bladder. Etiologically, cystitis develops due to pathogenic vaginal microflora: Chlamydia trachomatis, Mycoplasma genitalium, Ureaplasma, urealyticum, Gardnerella vaginalis, Candida, E. coli and other gram-negative bacteria. In 64 female patients aged 16-57 years with female hypospadia (FH) the diagnosis was made by O'Donnel-Hirchhorn symptom. Identification of urinary and vaginal microflora was made using polymerase chain reaction. Radical treatment of chronic recurrent cystitis in FH is surgical - transposition of the distal urethra and its opening in the typical place with pre- and perioperative anti-inflammatory therapy according to the pathogen or with drugs having combined antimycotic and antiprotosoic properties. One of such drugs safocid demonstrates a rapid therapeutic effect in mixed urogenital infections causing chronic recurrent cystitis in women.

эктопия наружного отверстия уретры, хронический рецидивирующий цистит, оперативное лечение, предоперационная подготовка