Open AccessClinical and urodynamic parameters associated with history of urinary tract infections in women: a prospective study
Author(s) -
ATHANASIOU STAVROS,
ANTSAKLIS ARIS,
BETSI GREGORIA I.,
SOTIROPOULOU MYRTIA,
FALAGAS MATTHEW E.
Publication year - 2007
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340701446181
Subject(s) - medicine , odds ratio , urinary system , prospective cohort study , cystometry , confidence interval , urodynamic testing , urinary incontinence , medical history , lower urinary tract symptoms , etiology , epidemiology , gynecology , surgery , prostate , cancer
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.