International Urogynecology Journal

, Volume 20, Issue 7, pp 837–842

Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction

  • Bernard T. Haylen
  • Joseph Lee
  • Sue Husselbee
  • Matthew Law
  • Jialun Zhou
Original Article

DOI: 10.1007/s00192-009-0856-3

Cite this article as:
Haylen, B.T., Lee, J., Husselbee, S. et al. Int Urogynecol J (2009) 20: 837. doi:10.1007/s00192-009-0856-3
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Abstract

Introduction and hypothesis

The prevalence and clinical associations of recurrent (two or more symptomatic and medically documented in the previous 12 months) urinary tract infections (UTIs) have not been subjected to comprehensive analysis in a large group of women with symptoms of pelvic floor dysfunction.

Methods

A prospective study was conducted involving 1,140 women presenting for their initial urogynecological assessment.

Results

The overall prevalence of recurrent UTI was 19%. Significant positive associations of recurrent UTI were: (1) nulliparity with a 3.7× (up to 50 years) increase over the prevalence for parous women and 1.8× (over 50 years); and (2) women with an immediate postvoid residual (PVR) over 30 ml, which is significant in women over 50 years.

Conclusions

The early age decline (18–45 years) in the prevalence of recurrent UTI might be related to increasing parity. The later increase (over 55 years) was probably due to the increasing PVR effect superimposed on the nulliparity effect.

Keywords

Pelvic floor dysfunction Recurrent urinary tract infections Prolapse Postvoid residual Ultrasound Urodynamics 

Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  • Bernard T. Haylen
    • 1
  • Joseph Lee
    • 2
  • Sue Husselbee
    • 1
  • Matthew Law
    • 3
  • Jialun Zhou
    • 3
  1. 1.St Vincent’s ClinicDarlinghurstAustralia
  2. 2.Mercy HospitalMelbourneAustralia
  3. 3.National Centre in HIV Epidemiology & Clinical ResearchUniversity of New South WalesKensingtonAustralia

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