Recurrent urinary tract infections in women

Aydın, Abdullatif; Ahmed, Kamran; Zaman, Iftikhar; Khan, Muhammad Shamim; Dasgupta, Prokar

doi:10.1007/s00192-014-2569-5

Cited by 119 publications

(65 citation statements)

References 58 publications

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“…This result is consistent with previous findings in premenopausal women where having multiple partners was reported as a strong behavioural risk factor for rUTIs1. Indeed, in a case-control study of women aged 18–30 years, Scholes et al 25.…”

Section: Discussionsupporting

confidence: 92%

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Six Out of Ten Women with Recurrent Urinary Tract Infections Complain of Distressful Sexual Dysfunction – A Case-Control Study

Boeri¹,

Capogrosso²,

Ventimiglia³

et al. 2017

Sci Rep

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Uncomplicated recurrent urinary tract infections (rUTIs) are common among reproductive-aged women. We aimed to assess the prevalence and predictors of sexual dysfunction (FSD) in a cohort of women with rUTIs and compare their psychometric scores to those of matched controls. Data from 147 rUTIs women and 150 healthy controls were analysed. Participants completed the International Prostatic Symptoms Score (IPSS), the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (SDS). Descriptive statistics and logistic regression models tested prevalence and predictors of distressful FSD. Women with rUTIs had lower FSFI scores (p < 0.001) and a greater proportion of pathological FSFI (78.9% vs. 21.4%; p < 0.001) and SDS scores (77.8% vs. 21.4%; p < 0.001) than controls. Of rUTIs patients, 88 (60%), 77 (52.2%), and 75 (51.1%) reported pathological scores for FSFI-pain, lubrication and arousal, respectively; moreover, 64% had concomitant pathological FSFI and SDS scores. Age, IPSS severity, rUTIs, a history of ≥6 UTIs/year and a history of constipation were independent predictors of pathologic FSFI and SDS (all p ≤ 0.05). In conclusion, up to 80% of women with rUTIs showed pathologic FSFI and SDS scores, with 60% reporting scores suggestive of distressful FSD. Having ≥6 UTIs/year and a history of constipation independently predicted distressful FSD.

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Section: Discussionsupporting

confidence: 92%

“…Approximately 50% to 60% of women develop a UTI over their lifetime1, with one-third experiencing at least one by age 262. A recurrent UTI (rUTI) is widely defined as more than two episodes of uncomplicated UTI within 6 months or more than three within 12 months, as documented by urine culture34.…”

mentioning

confidence: 99%

Six Out of Ten Women with Recurrent Urinary Tract Infections Complain of Distressful Sexual Dysfunction – A Case-Control Study

Boeri¹,

Capogrosso²,

Ventimiglia³

et al. 2017

Sci Rep

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“…Women are far more likely to report rUTI than men and this is due to increased risks related to anatomy (short urethra/proximity to vaginal microbiota), sexual intercourse, urogenital ageing, pelvic organ prolapse, and urinary incontinence. 5 In men, rUTIs are mostly associated with increasing age and benign prostatic obstruction leading to incomplete bladder emptying. 6 Most rUTI patients would be evaluated with imaging of the renal tract and in some cases cystoscopy to differentiate complicated from uncomplicated UTI.…”

Section: Introductionmentioning

confidence: 99%

How can we improve investigation, prevention and treatment for recurrent urinary tract infections – ICI‐RS 2018

Harding

Rantell

Cardozo

et al. 2019

Neurourology and Urodynamics

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Background: Recurrent urinary tract infection (rUTI) is a chronic conditionand has a significant impact on health-related quality of life. The commonly used definition for rUTI is greater than three episodes in a year or more than two in 6 months. Current diagnostic methods have been used worldwide for over five decades, despite well evidenced criticism. Enhanced culture techniques demonstrate that the microbiome of the bladder is far more complex than previously thought and begs a reappraisal of our current testing. Treatment of rUTI is based on a small number of antibiotic trials with some evidence showing a reduction in the number of positive cultures, but one must be cautious in interpreting the results and weigh against the risk of generation of antimicrobial resistance (AMR).Aim: The International Consultation on Incontinence-Research Society think tank reviewed the literature with a view to improving investigation, prevention and treatment of rUTI. Methods: A multidisciplinary team of experts were invited to present evidence regarding the current diagnostic methods, recent advances related to bladder biome mapping and current treatment strategies, including antibiotic and nonantibiotic options. Current guidelines regarding antibiotic stewardship and concerns regarding AMR were discussed. Discussion: Outcome of the think tank discussions are summarised with a set of recommendations to inform future research. Particular consideration is given to bacterial survival in the bladder after treatment as well as defects in urothelial barrier function which may play a significant part in the failure to eradicate UTI. K E Y W O R D S antimicrobial resistance, urinary tract infection Neurourology and Urodynamics. 2019;38:S90-S97. wileyonlinelibrary.com/journal/nau S90 |

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“…Urinary Tract Infection (UTI) is one of the most common infections in females and is considered a challenge among physicians, imposing major costs on healthcare systems (1). Every year, almost 10% of females experience one episode of UTI, and 53% above the age of 55 years and 36% of younger females report a recurrence within one year (2,3). Recurrent UTI is symptomatic UTI that follows the resolution of an earlier episode after appropriate treatment and is defined as two or more infections during a sixmonth period or three or more infections in one year (2,4,5).…”

Section: Introductionmentioning

confidence: 99%

“…Every year, almost 10% of females experience one episode of UTI, and 53% above the age of 55 years and 36% of younger females report a recurrence within one year (2,3). Recurrent UTI is symptomatic UTI that follows the resolution of an earlier episode after appropriate treatment and is defined as two or more infections during a sixmonth period or three or more infections in one year (2,4,5). Recurrent UTI is quite common among females and has major impact on patient quality of life and can lead to sexual disorders and reduced social function (6).…”

Section: Introductionmentioning

confidence: 99%

Cystoscopy Findings in Females with Recurrent Urinary Tract Infection

Daneshpajooh

Mirzaei

2018

Nephro-Urol Mon

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Objectives: Recurrent urinary tract infection is common in adult females. This study aimed at identifying lower urinary tract abnormalities in females with recurrent urinary tract infections based on cystoscopy findings and evaluating the diagnostic yield of cystoscopy in these patients. Methods: In this cross-sectional study, females (above 18 years) with recurrent urinary tract infection, who were referred to the urology clinic of Kerman University of Medical Sciences, Iran, in 2014 to 2016, were evaluated. After collecting demographic information, urine culture and urinary tract ultrasonography were performed for all patients; those with gross or microscopic hematuria, abnormality in imaging, neurogenic bladder, genitourinary cancer, and congenital urinary tract abnormality were excluded. Eligible patients underwent urethrocystoscopy, and the findings were recorded. Associations between clinical risk factors and abnormal findings were analyzed. Results: Of the 88 patients (mean age of 48 years), who underwent urethrocystoscopy, urinary tract abnormalities were reported in 36 (40.9%) patients, among whom 19 (21.5%) and 17 (19.4%) had clinically significant and non-significant abnormalities, respectively. Significant abnormalities included 14 cases of urethral stricture, one case of mesh erosion into the urethra, one case of periurethral gland abscess, two cases of bladder diverticulum, and one case of refluxing ureteral orifice. Conclusions: Although the majority of urinary tract abnormalities among females with recurrent urinary tract infection could be identified via imaging modalities, yet, it seems that cystoscopy is an appropriate method for the diagnosis of urinary tract disorders in some cases, especially in patients, who are unresponsive to common treatment strategies.

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Recurrent urinary tract infections in women

Cited by 119 publications

References 58 publications

Six Out of Ten Women with Recurrent Urinary Tract Infections Complain of Distressful Sexual Dysfunction – A Case-Control Study

Six Out of Ten Women with Recurrent Urinary Tract Infections Complain of Distressful Sexual Dysfunction – A Case-Control Study

How can we improve investigation, prevention and treatment for recurrent urinary tract infections – ICI‐RS 2018

Cystoscopy Findings in Females with Recurrent Urinary Tract Infection

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