ISSN 1728-2985
ISSN 2414-9020 Online

Obstetrician-gynecologist’s and urologist’s perspective on the treatment of cystitis: the need for a multidisciplinary approach

Gvozdev M.Yu., Kasyan V.N., Zhilkina A.A.

1) Russian University of Medicine, Ministry of Health of Russia, Moscow, Russia; 2) Lomonosov Moscow State University Medical Research and Educational Institute, Moscow, Russia
Cystitis in women is one of the most common urological diseases and requires a multidisciplinary approach. Depending on the stage of a woman’s life, her gynecological status, including hormonal levels, the condition of the vaginal microflora, and anatomical features, has a significant impact on the course of cystitis and its treatment. Underestimation of gynecological factors is sometimes a cause of treatment failure. The clinical features of cystitis in women of reproductive age and in perimenopause are discussed in the article. The need to assess estrogen status and vaginal flora are substantiated. In addition, current principles of therapy, including the use of nitrofurans, particularly potassium furazidin (Furamag®), are outlined.

Keywords

recurrent cystitis
estrogen deficiency
postmenopause
genitourinary syndrome of menopause
vaginal microflora
Furamag
furazidin
antibacterial therapy
multidisciplinary approach

About the Authors

Corresponding author: M.Yu. Gvozdev – Ph.D., MD, Associate Professor, Professor, Department of Urology, N.A. Semashko Scientific and Educational Institute of Clinical Medicine, Russian University of Medicine, Ministry of Health of Russia, Moscow, Russia; e-mail: m.gvozdev@mail.ru

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