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Recurrent Urinary Infections in Girls: Effects of Urethral Dilatation 1
Author(s) -
HENDRY W. F.,
STANTON S. L.,
WILLIAMS D. INNES
Publication year - 1973
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1973.tb00047.x
Subject(s) - medicine , irritability , cystoscopy , urology , reflux , urinary system , urethra , surgery , vesicoureteral reflux , disease , menopause
Summary The effects of urethral dilatation have been investigated in girls with recurrent urinary infection. About 65 per cent of girls showed some improvement when this procedure was combined with long‐term antibiotic therapy, provided that there was no serious vesico‐ureteric reflux. However, the results were unpredictable, and in a controlled prospective trial the preliminary results of dilatation did not differ significantly from those obtained with cystoscopy alone. Nevertheless, improvement after dilatation did seem to be associated with a high urethral pressure profile, high bladder pressure, small bladder capacity and marked detrusor irritability; it is suggested that this “dysfunctional bladder syndrome” may be the cause of recurrent infections in these cases, and that improvement may be anticipated after urethral dilatation, which should be combined with anti‐cholinergic drug therapy if day wetting is a co‐existing problem.