Нетипичные случаи рецидивирующего посткоитального цистита у женщин: приобретенная гипермобильность уретры

Abstract

Introduction. Recurrent postcoital cystitis is considered as a disease that is a consequence of certain congenital prerequisites in the structure of the lower parts of the urogenital tract in women. Materials and methods. When writing the article, we used data on the surgical treatment of recurrent postcoital cystitis in women, posted in the PubMed databases (https://www.ncbi.nlm.nih.gov/pubmed/) and the Scientific Electronic Library Elibrary.ru (https://elibrary.ru/). When searching the databases, the following keywords were used: postcoital cystitis , honeymoon cystitis , acquired postcoital cystitis , hymenotomy , urethrogenital adhesions ( postcoital cystitis , honeymoon cystitis , acquired postcoital cystitis , transposition of the urethra , hymenotomy , urethro-hymenal fusion ). Results. Patients with recurrent postcoital cystitis represent a heterogeneous group from an etiological point of view. A detailed analysis of complaints and anamnesis of the disease, as well as the causes, conditions and time of recurrence of cystitis helps to clarify the pathogenesis of the disease in each case. The article presents clinical cases of acquired recurrent postcoital cystitis in women who have previously undergone surgery on the lower urinary tract. Conclusion. Recurrent postcoital cystitis can be the result of not only congenital anatomical prerequisites, but also acquired changes in the urogenital area due to surgery or injury.