[Persistent dysuria in women. Current issues in diagnosis and treatment]

The article discusses the causes of persistent dysuria in women and presents detailed algorithm for the examination of patients with recurrent lower urinary tract infections which is one of the most frequent causes of urination disorders in women. The high rate of recurrence of cystitis and urethritis in women suggests the need for careful examination and treatment of patients with account of etiology and pathogenesis of these diseases. In 20 patients who were examined according to the specified algorithm, non-gonococcal urethritis and exacerbation of recurrent cystitis were diagnosed. All patients suffered from urination disorders for a long time, and received different types of antibacterial drugs with temporary effect. Only a careful examination allowed to reveal concomitant gynecological diseases underlying urethritis, and choose appropriate therapy. The complex therapy with safocid, including azithromycin, seknidazol, fluconazole, and immunotropic drug lavomax was administred.