["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.


METHODS
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.
Archimbaud
Jean-Pierre
JP
Service d'Urologie, Centre Hospitalier Lyon Sud, Lyon, France.
Gerard
Thierry
T
Martin
Xavier Jean-Baptiste
XJ
D003556:Cystitis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012008:Recurrence; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods