Urinary tract infection after urodynamic studies in women: incidence and natural history.
OBJECTIVE: To study the incidence, natural history and symptomatic effects of bacteriuria after urodynamic studies in women. PATIENTS AND METHODS: In a prospective study in the urogynaecology clinic of a large District General Hospital, 214 women (mean age 52.3 years, range 23-81) underwent urodynam...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
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1999
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| _version_ | 1797090422017753088 |
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| author | Bombieri, L Dance, D Rienhardt, G Waterfield, A Freeman, R |
| author_facet | Bombieri, L Dance, D Rienhardt, G Waterfield, A Freeman, R |
| author_sort | Bombieri, L |
| collection | OXFORD |
| description | OBJECTIVE: To study the incidence, natural history and symptomatic effects of bacteriuria after urodynamic studies in women. PATIENTS AND METHODS: In a prospective study in the urogynaecology clinic of a large District General Hospital, 214 women (mean age 52.3 years, range 23-81) underwent urodynamic studies. Bacteriuria was detected by semiquantitative culture at 2 and 7 days after the test. Women completed a 7-day diary of symptoms and events. RESULTS: The incidence of bacteriuria after urodynamic studies was 7.9%. Bacteriuria was transient in four of 17 women but persisted in nine and developed late in four; only one of 17 infections gave rise to symptoms. Irritative bladder symptoms after the test occurred in 34% of women, but only three went to their doctors because of concern about a possible urinary tract infection. Advancing age was the only variable associated with bacteriuria after urodynamic studies (P= 0.05). Menopausal status, past history of urinary tract infection, number of urethral instrumentations required, order number in a session, peak urinary flow rate and urodynamic diagnosis were not associated variables. CONCLUSIONS: In a large series of women presenting to a urogynaecology clinic, urodynamic investigations were associated with a high incidence of transient irritative symptoms but a low incidence of bacteriuria (8%). Infection was asymptomatic in most patients, but its natural history was unpredictable. Transient, persistent and late cases of bacteriuria all occurred. In this population, urodynamic studies are associated with a low level of morbidity. |
| first_indexed | 2024-03-07T03:18:22Z |
| format | Journal article |
| id | oxford-uuid:b697f160-7b8d-4788-bf59-bcb0ca5eda25 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T03:18:22Z |
| publishDate | 1999 |
| record_format | dspace |
| spelling | oxford-uuid:b697f160-7b8d-4788-bf59-bcb0ca5eda252022-03-27T04:42:00ZUrinary tract infection after urodynamic studies in women: incidence and natural history.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b697f160-7b8d-4788-bf59-bcb0ca5eda25EnglishSymplectic Elements at Oxford1999Bombieri, LDance, DRienhardt, GWaterfield, AFreeman, ROBJECTIVE: To study the incidence, natural history and symptomatic effects of bacteriuria after urodynamic studies in women. PATIENTS AND METHODS: In a prospective study in the urogynaecology clinic of a large District General Hospital, 214 women (mean age 52.3 years, range 23-81) underwent urodynamic studies. Bacteriuria was detected by semiquantitative culture at 2 and 7 days after the test. Women completed a 7-day diary of symptoms and events. RESULTS: The incidence of bacteriuria after urodynamic studies was 7.9%. Bacteriuria was transient in four of 17 women but persisted in nine and developed late in four; only one of 17 infections gave rise to symptoms. Irritative bladder symptoms after the test occurred in 34% of women, but only three went to their doctors because of concern about a possible urinary tract infection. Advancing age was the only variable associated with bacteriuria after urodynamic studies (P= 0.05). Menopausal status, past history of urinary tract infection, number of urethral instrumentations required, order number in a session, peak urinary flow rate and urodynamic diagnosis were not associated variables. CONCLUSIONS: In a large series of women presenting to a urogynaecology clinic, urodynamic investigations were associated with a high incidence of transient irritative symptoms but a low incidence of bacteriuria (8%). Infection was asymptomatic in most patients, but its natural history was unpredictable. Transient, persistent and late cases of bacteriuria all occurred. In this population, urodynamic studies are associated with a low level of morbidity. |
| spellingShingle | Bombieri, L Dance, D Rienhardt, G Waterfield, A Freeman, R Urinary tract infection after urodynamic studies in women: incidence and natural history. |
| title | Urinary tract infection after urodynamic studies in women: incidence and natural history. |
| title_full | Urinary tract infection after urodynamic studies in women: incidence and natural history. |
| title_fullStr | Urinary tract infection after urodynamic studies in women: incidence and natural history. |
| title_full_unstemmed | Urinary tract infection after urodynamic studies in women: incidence and natural history. |
| title_short | Urinary tract infection after urodynamic studies in women: incidence and natural history. |
| title_sort | urinary tract infection after urodynamic studies in women incidence and natural history |
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