Preview

Urology Herald

Advanced search

Transposition of the distal urethra: 10-year treatment results

https://doi.org/10.21886/2308-6424-2024-12-3-46-52

Abstract

Introduction. Post-coital cystitis is not a separate nosologic unit, but belongs to recurrent urinary tract infection. Surgical interventions are only recommended in cases where conservative treatment fails to provide relief.

Objective. To evaluate the results of post-coital cystitis prophylaxis in urethral transposition.

Materials & methods. A retrospective study of 46 patients who underwent surgical treatment in the volume of transposition of the distal urethra from 2011 to 2013 was conducted in the clinic of Urology of MSUMD based on the Spasokukotsky Moscow Clinical Hospital.

Results. Based on subjective reports from patients, urethral transposition was found to be effective in 71.7% of cases. Half of the participants reported no recurrence of cystitis within the past year, and over half (67%) reported no inflammatory episodes after undergoing surgery.

Conclusion. The findings suggest that urethral transposition is an effective and relatively safe treatment option for patients with post-coital cystitis who have failed to respond to conservative treatments.

About the Authors

G. Yu. Gvozdev
Russian University of Medicine (RosUniMed); Botkin City Clinical Hospital
Russian Federation

Michael Y. Gvozdev — Dr.Sc.(Med), Assoc.Prof. (Docent)

Moscow



E. P. Bryanskykh
Russian University of Medicine (RosUniMed)
Russian Federation

Elizabeth P. Bryanskykh

Moscow



N. A. Sazonova
Spasokukotsky Moscow Clinical Hospital
Russian Federation

Natalya A. Sazonova

Moscow



E. K. Lazareva
Russian University of Medicine (RosUniMed)
Russian Federation

Elena K. Lazareva 

Moscow



A. L. Sarukhanian
Russian University of Medicine (RosUniMed)
Russian Federation

Arman L. Sarukhanian

Moscow



References

1. Kwok M, McGeorge S, Mayer-Coverdale J, Graves B, Paterson DL, Harris PNA, Esler R, Dowling C, Britton S, Roberts MJ. Guideline of guidelines: management of recurrent urinary tract infections in women. BJU Int. 2022;130 Suppl 3(Suppl 3):11-22. DOI: 10.1111/bju.15756

2. O'Donnell RP. Relative hypospadias potentiated by inadequate rupture of the hymen: a cause of chronic inflammation of the lower part of the female urinary tract. J Int Coll Surg. 1959;32:374-388. PMID: 14428066

3. O'Donnell RP. 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. PMID: 5724538

4. Hirschhorn RC. Urethral-hymenal fusion. J Urol. 1966;96(5):784-789. DOI: 10.1016/S0022-5347(17)63350-0

5. Smith PJ, Roberts JB, Ball AJ. "Honeymoon" cystitis: a simple surgical cure. Br J Urol. 1982;54(6):708-710. DOI: 10.1111/j.1464-410x.1982.tb13630.x

6. Patent № 2132652 C1 Rossijskaja Federacija, MPK A61B 17/42, A61B 17/00. Loran O.B., Gumin L.M., D'jakov V.V., Gvozdev M.Ju. Sposob transpozicii naruzhnogo otverstija mocheispuskatel'nogo kanala u zhenshhin : № 98114019/14 : zajavl. 16.07.1998 : opubl. 10.07.1999. (In Russian). Accessed on 29.01.2024 URL: https://patents.google.com/patent/RU2132652C1/ru?oq=RU2132652C1

7. Ronzoni G, De Giovanni L, Weir JM, Pasqui F, Menchinelli P. Transposing the urethral meatus in the treatment of recurrent and postcoital cystitis in women with hypospadias. BJU Int. 2001;87(9):894-896. DOI: 10.1046/j.1464-410x.2001.01903.x

8. Nesterov S.N., RogachikoV V.V., Askarov M.S., Kissamedenov N.G. Reconstruction of the urethra in treatment of postcoital cystitis. West Kazakhstan Medical Journal. 2009;2(22):82-86.eLIBRARY ID: 24169796; EDN: UIXPJJ (In Russian).

9. Patent № 2408296 C1 Rossijskaja Federacija, MPK A61B 17/00. Komjakov B.K., L.M. Rodygin, Jel' A.T. Sposob hirurgicheskogo lechenija gipermobil'nosti i vlagalishhnoj jektopii uretry : № 2009115974/14 : zajavl. 27.04.2009 : opubl. 10.01.2011. (In Russian). Accessed on 29.01.2024 URL: https://yandex.ru/patents/doc/RU2408296C1_20110110

10. Snurnitsyna O.V., Inoyatov Zh.Sh., Lobanov M.V., Malinina O.Yu., Rapoport L.M., Enikeev M.E. Minimally invasive surgical treatment of female hypospadias and urethral hypermobility complicated by postcoital dysuria. Urology Herald. 2021;9(1):72-79. (In Russian). DOI: 10.21886/2308-6424-2021-9-1-72-79

11. Reed JF Jr. Urethral-hymenal fusion: a cause of chronic adult female cystitis. J Urol. 1970;103(4):441-446. DOI: 10.1016/s0022-5347(17)61977-3

12. Hooton TM, Stapleton AE, Roberts PL, Winter C, Scholes D, Bavendam T, Stamm WE. Perineal anatomy and urine-voiding characteristics of young women with and without recurrent urinary tract infections. Clin Infect Dis. 1999;29(6):1600-1601. DOI: 10.1086/313528

13. Gyftopoulos K. The aberrant urethral meatus as a possible aetiological factor of recurrent post-coital urinary infections in young women. Med Hypotheses. 2018;113:6-8. DOI: 10.1016/j.mehy.2018.02.005

14. Scholes D, Hooton TM, Roberts PL, Stapleton AE, Gupta K, Stamm WE. Risk factors for recurrent urinary tract infection in young women. J Infect Dis. 2000;182(4):1177-1182. DOI: 10.1086/315827

15. Foxman B, Chi JW. Health behavior and urinary tract infection in college-aged women. J Clin Epidemiol. 1990;43(4):329-337. DOI: 10.1016/0895-4356(90)90119-a

16. Stamatiou C, Bovis C, Panagopoulos P, Petrakos G, Economou A, Lycoudt A. Sex-induced cystitis--patient burden and other epidemiological features. Clin Exp Obstet Gynecol. 2005;32(3):180-182. PMID: 16433159

17. Foxman B, Marsh J, Gillespie B, Rubin N, Koopman JS, Spear S. Condom use and first-time urinary tract infection. Epidemiology. 1997;8(6):637-641. DOI: 10.1097/00001648-199710000-00004

18. Fihn SD, Boyko EJ, Normand EH, Chen CL, Grafton JR, Hunt M, Yarbro P, Scholes D, Stergachis A. Association between use of spermicide-coated condoms and Escherichia coli urinary tract infection in young women. Am J Epidemiol. 1996;144(5):512-520. DOI: 10.1093/oxfordjournals.aje.a008958

19. Steiner MJ, Cates W Jr. Condoms and urinary tract infections: is nonoxynol-9 the problem or the solution? Epidemiology. 1997;8(6):612-614. DOI: 10.1097/00001648-199711000-00004

20. Franco AV. Recurrent urinary tract infections. Best Pract Res Clin Obstet Gynaecol. 2005;19(6):861-873. DOI: 10.1016/j.bpobgyn.2005.08.003

21. Winberg J, Gezelius L, Guldevall L, Möllby R. Cephadroxil promotes vaginal colonization with Escherichia coli. Infection. 1993;21(4):201-205. DOI: 10.1007/BF01728887

22. Hooton TM, Vecchio M, Iroz A, Tack I, Dornic Q, Seksek I, Lotan Y. Effect of Increased Daily Water Intake in Premenopausal Women With Recurrent Urinary Tract Infections: A Randomized Clinical Trial. JAMA Intern Med. 2018;178(11):1509-1515. DOI: 10.1001/jamainternmed.2018.4204

23. Inoyatov J.Sh., Snurnitsyna O.V., Lobanov M.V., Malinina O.Yu., Demidko Yu.L., Taratkin M.S., Rapoport L.M., Enikeev M.E., Glybochko P.V. Minimally invasive combined surgical treatment of postcoital cystitis. Andrology and Genital Surgery. 2020;21(2):20-25. (In Russian). DOI: 10.17650/2070-9781-2020-21-2-20-25

24. Komyakov B.K., Tarasov V.A., Ochelenko V.A., Shpilenya E.S., Shevnin M.V. Pathogenesis and treatment of postcoital cystitis: are our approaches correct? Urologiia. 2022;(2):27-33. (In Russian). DOI: 10.18565/urology.2022.2.27-32

25. Komyakov B.K., Shevnin M.V., Tarasov V.A., Nazarov T.Kh., Shpilenya E.S., Rychkov I.V. Surgical correction of vestibulo-vaginal frictional dislocation of urethra in postcoital cystitis. Andrology and Genital Surgery. 2023;24(3):89-94. (In Russian). DOI: 10.17650/2070-9781-2023-24-3-89-94


Review

For citations:


Gvozdev G.Yu., Bryanskykh E.P., Sazonova N.A., Lazareva E.K., Sarukhanian A.L. Transposition of the distal urethra: 10-year treatment results. Urology Herald. 2024;12(3):46-52. (In Russ.) https://doi.org/10.21886/2308-6424-2024-12-3-46-52

Views: 1485


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2308-6424 (Online)