Abdominal strength in voiding cystometry: a risk factor for recurrent urinary tract infections in women

Salinas, J.; Chamorro, M. Vírseda; Méndez, S.; Menéndez, Pablo; Esteban, M.; Moreno, Jesús

doi:10.1007/s00192-015-2737-2

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…The characteristics of excluded studies: 11 studies were excluded after the review of the full manuscript. Data was not extractable in 2 studies [20,21]. One study was focusing at the incidence of recurrent UTIs and did not report on investigation findings [2].…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Recurrent Urinary Tract Infections in Women: What Is the Evidence for Investigating with Flexible Cystoscopy, Imaging and Urodynamics?

Santoni

Skews

et al. 2018

Urol Int

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Background/Aims/Objectives: Women with recurrent urinary tract infections (UTIs) are commonly referred to urology outpatient clinics. However, there is no clear consensus in existing guidelines as to if, or how, these should be investigated. The primary outcome was to evaluate all available literature to determine the percentage of abnormal findings in non-pregnant women with recurrent simple UTIs. Secondary outcomes were to determine the percentage that were serious, consequential or incidental findings. Methods: A full literature search was performed of the following databases: MEDLINE; Pubmed; Cochrane Central Register of Controlled Trials-CENTRAL; and ClinicalTrials.gov. Two assessors reviewed the articles independently. Any discrepancy was discussed and an agreement reached. Results: The literature search yielded 662 titles; 652 were excluded on initial review. A further 13 studies were gathered from references of yielded papers. After full review, 12 were included for analysis. These showed that < 1.5% of women investigated for recurrent simple UTIs with imaging or flexible cystoscopy had life-threatening pathology, but up to 67% had abnormal urodynamics. Conclusions: Women presenting with simple recurrent UTIs should have a flow rate and post-void residual measured. Cystoscopy is not warranted and imaging is unlikely to be of value in the absence of symptoms of upper tract disease or gynaecological problems.

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Section: Characteristics Of Studiesmentioning

confidence: 99%

Recurrent Urinary Tract Infections in Women: What Is the Evidence for Investigating with Flexible Cystoscopy, Imaging and Urodynamics?

Santoni

Skews

et al. 2018

Urol Int

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“…Another datum of note derived from our study is the relationship between abdominal straining during voiding and bladder lithiasis. Salinas et al 16 verified a relationship between increased voiding abdominal straining and recurrent UTI in women. It is possible that the same mechanism might intervene in the formation of bladder calculi in patients with SCI by fostering UTI.…”

Section: Discussionmentioning

confidence: 97%

Influence of bladder lithiasis on lower urinary tract dynamics in patients with spinal cord injury

et al. 2017

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“…Postmenopausal women with recurrent UTI had a significantly increased RU and reduced urine flow compared with age-matched controls [ 44 45 ]. A urodynamic study also found increased abdominal strength in voiding which constitutes a risk factor for recurrent UTI in women [ 46 ]. The ideal cutoff point for the maximum abdominal pressure in the voiding phase was 28 cmH 2 O.…”

Section: R Isk Factorsmentioning

confidence: 99%

Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention

Jhang

Kuo

2017

Tzu Chi Med J

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Recurrent urinary tract infection (UTI) might be one of the most common problems in urological clinics. Recent research has revealed novel evidence about recurrent UTI and it should be considered a different disease from the first infection. The pathogenesis of recurrent UTI might include two mechanisms, bacterial factors and deficiencies in host defense. Bacterial survival in the urinary bladder after antibiotic treatment and progression to form intracellular bacterial communities might be the most important bacterial factors. In host defense deficiency, a defect in pathogen recognition and urothelial barrier function impairment play the most important roles. Immunodeficiency and urogenital tract anatomical abnormalities have been considered the essential risk factors for recurrent UTI. In healthy women, voiding dysfunction and behavioral factors also increase the risk of recurrent UTI. Sexual intercourse and estrogen deficiency in postmenopausal women might have the strongest association with recurrent UTI. Traditional lifestyle factors such as fluid intake and diet are not considered independent risk factors now. Serum and urine biomarkers to predict recurrent UTI from the first infection have also attracted a wide attention recently. Current clinical evidence suggests that serum macrophage colony-stimulating factor and urinary nerve growth factor have potential predictive value for recurrent UTI. Clinical trials have proven the efficacy of the oral immunoactive agent OM-89 for the prevention of UTI. Vaccines for recurrent UTI are recommended by the latest guidelines and are available on the market.

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Abdominal strength in voiding cystometry: a risk factor for recurrent urinary tract infections in women

Abstract: Abdominal strength in the voiding phase constitutes a risk factor for recurrent urinary tract infections in women.

Cited by 5 publications

References 22 publications

Recurrent Urinary Tract Infections in Women: What Is the Evidence for Investigating with Flexible Cystoscopy, Imaging and Urodynamics?

Recurrent Urinary Tract Infections in Women: What Is the Evidence for Investigating with Flexible Cystoscopy, Imaging and Urodynamics?

Influence of bladder lithiasis on lower urinary tract dynamics in patients with spinal cord injury

Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention

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