TY - JOUR
TI - Clinical and urodynamic parameters associated with history of urinary
tract infections in women: a prospective study
AU - Athanasiou, Stavros
AU - Antsaklis, Aris
AU - Betsi, Gregoria I. and
AU - Sotiropoulou, Myrtia
AU - Falagas, Matthew E.
JO - Acta Obstetricia et Gynecologica Scandinavica
PY - 2007
VL - 86
TODO - 9
SP - 1130-1135
PB - Informa Healthcare
SN - 0001-6349, 1600-0412
TODO - 10.1080/00016340701446181
TODO - pelvic floor dysfunction; urinary tract infections; urodynamic
evaluation
TODO - Objectives. To evaluate the association of various clinical and
urodynamic variables with history of urinary tract infections ( UTIs) in
women. Methods. A prospective study of 2,081 women referred to a
urogynecologic clinic between June 2000 and November 2005 for
investigation of lower urinary tract symptoms. Results. 144 women
reported history of UTI( s) within the last year from the visit to the
clinic, and 91 had recurrent episodes (>= 3 per year). The multivariable
analysis showed that urge incontinence ( odds ratio ( OR) = 2.23, 95%
confidence interval ( CI): 1.46 - 3.42), suprapubic pain ( OR = 4.12,
95% CI: 2.21 - 7.67), and low maximum flow rate during voiding
cystometry ( OR = 0.96, 95% CI: 0.94 - 0.98) were associated with UTIs.
Conclusions. Our results suggest that urodynamic testing does not help
in identifying specific urogynecologic mechanisms that could improve
medical and/or surgical management or prevent recurrent UTI.
ER -