Surgical correction of vestibulo-vaginal frictional dislocation of urethra in postcoital cystitis

Abstract

Aim. To improve the results of surgical treatment of patients with recurrent postcoital cystitis.Material and methods. From 2005 to 2023, extravaginal transposition of the urethra according to the method developed by us (patent No. RU2408296C1 from 10.01.2011) and its modification (patent No. RU2686948C1 from 18.06.2018) was performed in 502 women aged from 18 to 61 years (average age 29.6 ± 7.2 year) at the Urology Department of the I.I. Mechnikov Northern State Medical University. The main part of patients was operated at the Center of Urology of the City Multidisciplinary Hospital No. 2 (St. Petersburg).Results. Out of 502 women we operated on, 370 (73.7 %) were examined in the distant postoperative period. A satisfactory result was observed in 338 (91.4 %) of them. The operation proved to be ineffective in 32 (8.6 %) women. Repeated transposition of the urethra was performed in 17 patients (3.4 %).Сonclusion. The indication for extravaginal urethral transposition is the association of sexual intercourse with episodes of cystitis exacerbations. The high efficacy of this operation for the prevention and treatment of postcoital cystitis is achieved through the correct selection of women as well as compliance with all technical features of the proposed surgical intervention.