Transposition of distal urethra in operative treatment of recurrent urinary tract infection in female patients

D. Y. Pushkar; Пушкарь Д. Ю.; М. Y. Gvozdev; Гвоздев М. Ю.; К. Р. Tevlin; Тевлин К. П.

doi:10.17816/JOWD87491

Transposition of distal urethra in operative treatment of recurrent urinary tract infection in female patients

Authors: Pushkar D.Y.¹, Gvozdev М.Y.¹, Tevlin К.Р.¹
Affiliations:
1. Moscow Medico-Stomatological Uпiversity
Issue: Vol 54, No 5S (2005)
Pages: 74-74
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87491
DOI: https://doi.org/10.17816/JOWD87491
ID: 87491

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Abstract

Aims & Objectives: recurrent urinary tract infection deals with anatomical variations of meatus position in more than 10% of patients. lt can lead to retrograde permeation of bacteria during sexual intercourse. Transposition of distal urethra can significantly improve the symptoms of urinary tract infection in such group of patients.

Keywords

transposition of the distal urethra, surgical treatment of recurrent lower urinary tract infections, lower urinary tract infections, recurrence of urinary infection, infection of the urethra during intercourse

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Material & Methods. During the period from 1998 to 2005, 224 female patients suffering from recurrent urinary tract infections after sexual intercourse were undergone transposition of distal urethra (mean age 27, 3 years). Тhе indications for the operative treatment were urethral hypermoЬility, uselessness of the antimicrobial therapy and connection with sexual activity.

Results. Positive results were subjectively in 175 patients (78, 1 %). Episodes of urinary tract infection reduced in 179 patients (79, 9%). Dispareunia reduced in 190 patients (84,8%) during the period of 12 month. Improving of the quality of sexualife were detected in 204 (91, 1 % ) patients.

Conclusions. Surgical transposition of the distal part of urethra саntead to the significant improving of symptoms of the urinary tract infection after sexual intercourse in female patients. Because of its low invasiveness this method сап use in almost аll patients with urinary tract infection after sexual intercourse.