隐性尿道下裂导致尿道炎阴道炎交替发作Recessive hypospadias lead to alternating episodes of uresitis.2008-9-8

梁女士，40岁，湖北襄阳人士，阴道炎与尿道炎交替出现多年，严重影响了生活质量，苦不堪言，特别是做爱后多有泌尿系感染症状，随着年龄的增长，越来越明显。2008年6月她不远万里来到北京安太妇产医院，陈凤林医生经电子阴道镜检查确诊为“隐性尿道下裂”，并为其实施了“尿道-阴道隔离术”。3个月后她写来了感谢信，信中说自己终于摆脱了阴道炎和尿道炎的困扰，享受到了性的美妙。Ms Liang, 40 years old, from xiangyang, Hubei province, vaginitis and uresitis alternated for many years, seriously affecting the quality of life, suffering, especially after sex, there are more and more symptoms of urinary tract infection, with age, more and more obvious. In June 2008, she traveled thousands of miles to Beijing Antai Obstetrics and Gynecology Hospital. Dr. Chenfenglin was diagnosed with "recessive hypospadias" through an electronic colposcopy examination and implemented "urethral-vaginal isolation". Three months later she wrote a thank-you note, which said she had finally got rid of vaginitis and uresitis and enjoyed the beauty of sex.

隐性尿道下裂，就是尿道口离阴道口过近，做爱时易把阴道分泌物挤压入尿道内，引起尿道不适和炎性反应，表现为做爱后出现泌尿系感染症状，比如尿道发热，尿急，尿痛，用点抗生素尿道炎就能缓解，但随后就会出现阴道炎，性活动活跃期尤为明显。其实很多女性都有类似的问题，但是很多医生并不认识此病，导致乱用抗生素，阴道菌群失调，阴道炎与尿道炎交替出现。The recessive hypospadias is that the urethral mouth is too close to the vaginal mouth. When making love, it is easy to squeeze vaginal secretions into the urethra, causing urethra discomfort and inflammatory reactions. The manifestation is urinary tract infection symptoms after sex, such as urethra fever, Urinary urgency, Urinary pain, With a little antibiotic uresitis can be relieved, but then there will be vaginitis, sexual activity is particularly obvious. In fact, many women have similar problems, but many doctors do not recognize the disease, resulting in indiscriminate use of antibiotics, vaginal flora disorders, vaginitis and urethrinitis alternating.

尿道-阴道隔离术，就是分离阴道和尿道隔膜，在它们之间镶嵌一个生物隔离带，将尿道口位置前移2cm，这样做爱时就不会把阴道分泌物挤压入尿道，阻断了阴道-尿道交叉感染的渠道。手术在静脉和局麻联合下进行，术中术后没有痛苦，留观1-2天，不用刻意休息，2周后可以恢复性生活。但是此术对医生要求很高，还需要生物隔离带，所以手术费一万元左右。

Urethral-vaginal isolation is the separation of the vagina and urethra diaphragm. It is inlaid with a biological isolation band between them and moves the urethra forward by 2cm so that vaginal secretions are not squeezed into the urethra during sex, blocking the vagina.-The channel of cross-infection of the urethra. The operation was performed under the combination of veins and local anesthesia. There was no pain during and after the operation. After watching 1-2 days, there was no need to rest deliberately and sexual life could be restored after 2 weeks. However, this surgery is very demanding for doctors and requires a biological isolation zone, so the operating cost is about 10,000 yuan.

病机：正常尿道内无细菌存在，不允许有任何细菌的侵入;而正常阴道分泌物内存在大量双歧杆菌，她分泌酸性物质，阻止其他杂菌生长，属于正常菌群，起到自洁作用，但是它进入尿道就成了致病菌，引起炎症。

Diseases: No bacteria exist in the normal urethra, and no bacterial invasion is allowed; Normal vaginal secretions are found in a large number of bifidobacteria. She secretes acidic substances to prevent the growth of other bacteria. It belongs to normal bacteria and plays a self-cleansing role, but it enters the urethra and becomes a pathogenic bacteria, causing inflammation.

注意：术者必须特别熟悉尿道-阴道的局部解剖，手技灵巧，否则易导致尿道损伤。术后还需膀胱冲洗一次，阴道菌群置换一次。

Note: The surgeon must be particularly familiar with the local anatomy of the urethra-vagina, dexterity, otherwise it is easy to cause urethra damage. After surgery, bladder flushing is required once, and vaginal flora is replaced once.