Extravaginal transposition of the urethra in the treatment of post-coital cystitis
- Autores: Komyakov B.K1
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Afiliações:
- Edição: Nº 5 (2013)
- Páginas: 12-15
- Seção: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/279944
- ID: 279944
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Resumo
From 2005 to 2013, 106 patients with post-coital cystitis underwent surgery. Of these, vaginal ectopia of urethral meatus was diagnosed in 19 (17,9%), and hypermobility of the distal urethra in 87 (82,1%). 28 (26,4 %) women underwent the traditional plasty of distal urethra by O'Donnell method (group 1) and 78 (73,6 %) patients underwent surgery using new method of extravaginal transposition of the urethra developed in our clinic (group 2). In group 1, satisfactory results were obtained in 23 (82,1 %) patients, poor results - in 5 (17,9%) patients; in group 2, in 77 (98,7 %) and 1 (1,3% ) patients, respectively (p < 0,05). The disappointing results were attributable to the divergence of seams, reverse bias of urethra and recurrence of the disease. The use of method of extravaginal transposition of the urethra compared with a standard method allows to reduce the trauma of surgery, improve reliability of fixing the urethra, reducing the risk of its restriction and disease recurrence.
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Bibliografia
- Shawn D., Dason J., Kapoor A., Guidelines for the diagnosis and management of recurrent urinary tract infection in women. Can Urol. Assoc J. 2011;5(5):316-322.
- O' Donall R.P. Relative hypospadias potentiated by innadegyate rupture of the hymen. J. Int. Coll. Sbrg. 1959;32:374.
- Hirschhorn R.C. Urethral - hymenal fusion. Obstet. Gynecol. 1965;26(6):903.
- Гвоздев М.Ю., Лоран О.Б., Гумин Л.М. и др. Транспозиция дистального отдела уретры в оперативном лечении рецидивирующей инфекции нижних мочевыводящих путей у женщин. Урология. 2000;3:29-32.
- O'Donnell R.P. An intrapartum surgical technic for the prevention of chronic honeymoon urethritis. Is there a relationship between obstetric methods and significant asymptomatic bacteriuria? Int. Surg. 1968;50(5):427—434.
- O' Donall R.P. Chronic honeymoon cystitis correction by surgery. Br. J. Sex Med. 1978;5(37):20.
- Blackledge D. A simple operation for postcoital urethrotrigonitis in women. Aust N Z J. Obstet Gynaecol. 1979;19(2):123-125.
- Smith P.J., Roberts J.B., Ball A.J. «Honeymoon» cystitis: a simple surgical cure. Br. J. Urol. 1982;54(6):708-710.
- Van Bogaert L.J. Surgical repair of hypospadias in women with symptoms of urethral syndrome. J. Urol. 1992;147:1263-1264.
- Ronzoni G., Giovanni L.D., Weir J.M. et al. Transposing the urethral meatus in the treatment of recurrent and postcoital cystitis in women with hypospadias. BJU Int. 2001 ;87(9) :894-896.
- Деревянко Т.И. Влагалищная эктопия наружного отверстия уретры как одна из причин хронического рецидивирующего цистита у женщин: диагностика и лечение. Урология. 2009;5:18-21.
- Sumerova N., Pushkar D., Gvozdev M. Transposition of distal urethra in female patients with recurrent lower UTI associated with sexual intercourse. Clinical management of Complicated urinary tract infection / Edited by Ahmad Nikibakhsh. ISBN 978-953-307-393-4, Publisher: InTech, 2011. Chapter 14. P. 218-224.
- Комяков Б.К., Родыгин Л.М. Результаты хирургического лечения гипермобильности и эктопии уретры у женщин с хроническим циститом. Материалы IV городской научно-практической конференции «Актуальные вопросы урологии и гинекологии». СПб., 04.12.2009. С. 49-51.
- Botchorishvili G.G., Khelaia A.V., Bochorishvili A.G. Minimally invasive surgery in females with recurrent urethral syndrome associated with sexual intercourse. Eur. Urol. Suppl. 2011;10/2(46): 1569-9056.
- Нестеров С.Н., Рогачиков В.В., Кисамеденов Н.Г. Реконструкция уретры в лечении посткоитального цистита. Экология и Медицина. 2009;2:41-47.
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