Is Urine Egress into the Female Urethra a Risk Factor for UTI?
In 50% of typical (nonneurogenic) women, at least one urinary tract infection (UTI) will occur, with cystitis being the most common UTI, with about 25% of patients experiencing recurrence. A factor not currently included in UTI risk models is egress of urine from the bladder into the urethra during...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Uro |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-4397/2/4/24 |
| _version_ | 1797455049261056000 |
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| author | James Walter John Wheeler Aasma Khan |
| author_facet | James Walter John Wheeler Aasma Khan |
| author_sort | James Walter |
| collection | DOAJ |
| description | In 50% of typical (nonneurogenic) women, at least one urinary tract infection (UTI) will occur, with cystitis being the most common UTI, with about 25% of patients experiencing recurrence. A factor not currently included in UTI risk models is egress of urine from the bladder into the urethra during bladder filling and activities of daily living. Urinary egress, if it occurs, would shorten the distance that bacteria need to travel to gain access to the bladder. Video urodynamics with contrast medium can demonstrate urinary egress; however, the observations can be difficult to conduct. Egress can be expected to be more likely in women with lower urinary tract conditions such as urge and stress incontinence. Treatment of the incontinence also reduces UTI rates and the reduction could, in part, be due to reduced urine egress. If UTI risk remains after incontinence management, then further treatment with pelvic floor exercises and pessaries could be considered to reduce the risk from potential residual urine egress. In summary, urine egress as a risk factor for UTI needs further research and clinical consideration. |
| first_indexed | 2024-03-09T15:45:58Z |
| format | Article |
| id | doaj.art-a0497f651dd74d3eaa24d278bc01eeac |
| institution | Directory Open Access Journal |
| issn | 2673-4397 |
| language | English |
| last_indexed | 2024-03-09T15:45:58Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Uro |
| spelling | doaj.art-a0497f651dd74d3eaa24d278bc01eeac2023-11-24T18:30:23ZengMDPI AGUro2673-43972022-09-012419920310.3390/uro2040024Is Urine Egress into the Female Urethra a Risk Factor for UTI?James Walter0John Wheeler1Aasma Khan2Department of Urology, Loyola Medical Center, Maywood, IL 60153, USADepartment of Urology, Loyola Medical Center, Maywood, IL 60153, USADepartment of Psychology, Chicago State University, Chicago, IL 60628, USAIn 50% of typical (nonneurogenic) women, at least one urinary tract infection (UTI) will occur, with cystitis being the most common UTI, with about 25% of patients experiencing recurrence. A factor not currently included in UTI risk models is egress of urine from the bladder into the urethra during bladder filling and activities of daily living. Urinary egress, if it occurs, would shorten the distance that bacteria need to travel to gain access to the bladder. Video urodynamics with contrast medium can demonstrate urinary egress; however, the observations can be difficult to conduct. Egress can be expected to be more likely in women with lower urinary tract conditions such as urge and stress incontinence. Treatment of the incontinence also reduces UTI rates and the reduction could, in part, be due to reduced urine egress. If UTI risk remains after incontinence management, then further treatment with pelvic floor exercises and pessaries could be considered to reduce the risk from potential residual urine egress. In summary, urine egress as a risk factor for UTI needs further research and clinical consideration.https://www.mdpi.com/2673-4397/2/4/24lower urinary tracturinary incontinenceurinary tract infectionspessaryanticholinergic medicationspinal cord injury |
| spellingShingle | James Walter John Wheeler Aasma Khan Is Urine Egress into the Female Urethra a Risk Factor for UTI? Uro lower urinary tract urinary incontinence urinary tract infections pessary anticholinergic medication spinal cord injury |
| title | Is Urine Egress into the Female Urethra a Risk Factor for UTI? |
| title_full | Is Urine Egress into the Female Urethra a Risk Factor for UTI? |
| title_fullStr | Is Urine Egress into the Female Urethra a Risk Factor for UTI? |
| title_full_unstemmed | Is Urine Egress into the Female Urethra a Risk Factor for UTI? |
| title_short | Is Urine Egress into the Female Urethra a Risk Factor for UTI? |
| title_sort | is urine egress into the female urethra a risk factor for uti |
| topic | lower urinary tract urinary incontinence urinary tract infections pessary anticholinergic medication spinal cord injury |
| url | https://www.mdpi.com/2673-4397/2/4/24 |
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