Email this article Surgical correction of the urethra in women with postcoital cystitis
- Authors: Komyakov B.K.1,2, Tarasov V.A.1,2, Shpilenya E.S.1,2, Shevnin M.V.1,2, Sinchenko I.V.3
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Affiliations:
- City Multidisciplinary Hospital No. 2
- North-Western State Medical University named after I.I. Mechnikov
- Academician I.P. Pavlov First Saint Petersburg State Medical University
- Issue: Vol 71, No 1 (2022)
- Pages: 29-34
- Section: Original Research
- URL: https://journals.eco-vector.com/jowd/article/view/75907
- DOI: https://doi.org/10.17816/JOWD75907
- ID: 75907
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Abstract
AIM: The aim of this study was to improve the results of surgical treatment of patients with postcoital recurrent cystitis.
MATERIALS AND METHODS: From 2005 to 2021, in our clinic, extravaginal urethral transposition according to the method developed by us (RU No. 2408296 10.01.2011) was performed in 438 women aged 18 to 61 years (24 ± 1.3 years). The examination involved taking the anamnesis, physical examination, examination of the genitals, evaluation of urinalysis and urine culture, and bladder ultrasound.
RESULTS: Out of 438 women we operated on, 315 (71.9%) patients were examined in the long-term postoperative period. 297 (94.3%) patients had a positive result. Of these, 230 women had a full recovery and in 67 patients, cystitis occurs once or twice a year and is not always associated with intercourse. In 18 (5.7%) patients, the operation was ineffective, of which seven patients had exacerbations of cystitis after intercourse three years after the operation, and eleven patients had a reverse displacement of the urethra and the resumption of episodes of cystitis within a year after it. The repeated operation was performed in eight patients, it being effective in seven of them.
CONCLUSIONS: The new method of extravaginal transposition of the urethra according to Komyakov allows for avoiding the disadvantages of previously used operations. The main indication for the intervention is the direct relationship of cystitis episodes with sexual intercourse. The best results may be achieved with the correct selection of patients and compliance with all the technical features of the operation developed in our clinic.
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About the authors
Boris K. Komyakov
City Multidisciplinary Hospital No. 2; North-Western State Medical University named after I.I. Mechnikov
Email: komyakovbk@mail.ru
ORCID iD: 0000-0002-8606-9791
Scopus Author ID: 6507818933
MD, Dr. Sci. (Med.), Professor
Russian Federation, Saint Petersburg; 41, Kirochnaya St., Saint Petersburg, 191015Vladimir A. Tarasov
City Multidisciplinary Hospital No. 2; North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: vtar.sh@gmail.com
ORCID iD: 0000-0002-0196-849X
MD, Post-graduate of Urology chair
Russian Federation, Saint Petersburg; 41, Kirochnaya St., Saint Petersburg, 191015Evgeny S. Shpilenya
City Multidisciplinary Hospital No. 2; North-Western State Medical University named after I.I. Mechnikov
Email: shpilenyaes@szgmu.ru
ORCID iD: 0000-0003-0479-6555
MD, Dr. Sci. (Med.), Professor
Russian Federation, Saint Petersburg; 41, Kirochnaya St., Saint Petersburg, 191015Maxim V. Shevnin
City Multidisciplinary Hospital No. 2; North-Western State Medical University named after I.I. Mechnikov
Email: maxshevnin@mail.ru
ORCID iD: 0000-0002-5788-464X
Scopus Author ID: 57216661514
MD
Russian Federation, Saint Petersburg; 41, Kirochnaya St., Saint Petersburg, 191015Igor V. Sinchenko
Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: vtar.sh@gmail.com
ORCID iD: 0000-0003-4526-8943
Russian Federation, Saint Petersburg
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