Clinical and urodynamic parameters associated with history of urinary tract infections in women.
OBJECTIVE
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
Some 144 women reported history of UTI(s) within the last year from the visit to the clinic, and 91 had recurrent episodes (> or =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) 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.
Athanasiou
Stavros
S
First Department of Obstetrics and Gynecology, Athens University School of Medicine, Athens, Greece. athanasio@otenet.gr
Anstaklis
Aris
A
Betsi
Gregoria I
GI
Sotiropoulou
Myrtia
M
Falagas
Matthew E
ME
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D017773:Pelvic Floor / Q000502:physiology*; D017699:Pelvic Pain / Q000453:epidemiology*; D017698:Postmenopause; D011446:Prospective Studies; D012008:Recurrence; D012307:Risk Factors; D053202:Urinary Incontinence, Urge / Q000453:epidemiology*; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology*; D014554:Urination / Q000502:physiology*