["Meatoskenectomy" with perineal urethrostomy: treatment of recurrent cystitis in women].

OBJECTIVE

To study the results of an original surgical technique for the treatment of recurrent acute cystitis in women: "meatos-kenectomy" or terminal periurethral adenectomy with meatectomy completed by perineal urethrostomy.

PATIENTS AND METHOD: Retrospective review of the medical files of 102 patients operated according to this technique for recurrent urinary tract infections between January 1991 and March 1995. The annual infection rate was: 1 to 4 episodes for 5 patients, 5 to 11 episodes for 69 patients and 12 or more episodes for 28 patients: 24 patients had presented at least one episode of acute pyelonephritis.

RESULTS

More than 95% of patients were considered to be cured (no more than 1 episode of infection per year) with a mean follow-up of 59.8 months and no cases of pyelonephritis have been reported. Patients also observed resolution of improvement of voiding disorders in two-thirds of cases. No serious complications were observed in this series.

CONCLUSIONS

"Meatoskenectomy" is a reliable, reproducible, benign and effective surgical technique for the treatment of recurrent acute cystitis in women.