Komiakov B K
Urologiia. 2013 Sep-Oct(5):12-4.
From 2005 to 2013, 106 patients with post-coital cystitis underwent surgery. Of these, vaginal ectopia of urethral meatus was diagnosed in 19 (17.9%), and hypermobility of the distal urethra in 87 (82.1%). 28 (26.4%) women underwent the traditional plasty of distal urethra by O'Donnell method (group 1) and 78 (73.6%) patients underwent surgery using new method of extravaginal transposition of the urethra developed in our clinic (group 2). In group 1, satisfactory results were obtained in 23 (82.1%) patients, poor results--in 5 (17.9%) patients; in group 2, in 77 (98.7%) and 1 (1.3%) patients, respectively (p < 0.05). The disappointing results were attributable to the divergence of seams, reverse bias of urethra and recurrence of the disease. The use of method of extravaginal transposition of the urethra compared with a standard method allows to reduce the trauma of surgery, improve reliability of fixing the urethra, reducing the risk of its restriction and disease recurrence.
2005年至2013年，106例性交后膀胱炎患者接受了手术。其中，诊断出尿道口阴道异位19例（17.9%），尿道远端活动度过高87例（82.1%）。28例（26.4%）女性采用奥唐纳法进行传统的尿道远端成形术（第1组），78例（73.6%）患者采用我院研发的尿道阴道外移位新方法进行手术（第2组）。第1组中，23例（82.1%）患者取得满意效果，5例（17.9%）患者效果不佳；第2组中，分别为77例（98.7%）和1例（1.3%）患者（p<0.05）。令人失望的结果归因于缝线分离、尿道反向偏斜和疾病复发。与标准方法相比，采用尿道阴道外移位方法可减少手术创伤，提高尿道固定的可靠性，降低尿道狭窄和疾病复发的风险。
