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Urinary symptoms after a routine pelvic exam.

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TLDR
Dysuria and urinary frequency are more common among sexually active women during the month after a routine pelvic examination than controls during the 4 weeks before and after this study.
Abstract
Purpose:To determine if urinary symptoms are more common in women during the 4 weeks after a routine pelvic examination. Methods:This was a 4-week, prospective, observational cohort study in a Family Medicine residency clinic at an urban university. Participants included women ages 18 to 40 years who identified themselves as sexually active and who presented for a routine pelvic examination. Controls were women presenting for other health maintenance with no pelvic examination. Independent variables included age, pelvic examination/no pelvic examination, intercourse frequency, and condom use. Dependent variables included dysuria and urinary frequency. Relative rates of dysuria and frequency were compared using χ2 analysis. Mean rates of dysuria, frequency, intercourse, and condom use were compared using 2-tailed t tests. Results:Sixty-three subjects and 87 controls completed the study. More subjects had days with dysuria (17% vs 7%; P Conclusions:Dysuria and urinary frequency are more common among sexually active women during the month after a routine pelvic examination.

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Citations
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Journal ArticleDOI

Urinary tract infections in women.

TL;DR: Treatment for uncomplicated urinary tract infections usually consists of a single dose of medication for 3 to 7 days, although the 1-day regimen was proved to be quite effective.
Journal ArticleDOI

Periodic Screening Pelvic Examination: Evidence Report and Systematic Review for the US Preventive Services Task Force.

TL;DR: No direct evidence was identified for overall benefits and harms of the pelvic examination as a 1-time or periodic screening test for asymptomatic primary care populations.
Journal ArticleDOI

Genitourinary Infections after a Routine Pelvic Exam

TL;DR: The risk ofUTIs and urinary complaints were significantly more frequent during the first 7 weeks after a Papanicolaou smear compared with weeks 8 to 14, 8 to 48, and 8 to 52.
References
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Journal ArticleDOI

Establishment of a persistent Escherichia coli reservoir during the acute phase of a bladder infection.

TL;DR: It is shown that type 1-piliated uropathogens can invade the superficial epithelial cells that line the lumenal surface of the bladder and subsequently replicate, forming massive foci of intracellular E. coli termed bacterial factories.
Journal ArticleDOI

A Prospective Study of Risk Factors for Symptomatic Urinary Tract Infection in Young Women

TL;DR: Among sexually active young women the incidence of symptomatic urinary tract infection is high, and the risk is strongly and independently associated with recent sexual intercourse, recent use of a diaphragm with spermicide, and a history of recurrent urinary tract infections.
Journal ArticleDOI

Risk Factors for Recurrent Urinary Tract Infection in Young Women

TL;DR: Two predictors suggest that genetic/long-term environmental exposures also predispose to RUTI, and in young women, risk factors for sporadic UTI are also risk Factors for recurrence.
Journal ArticleDOI

Urinary tract infections in women.

TL;DR: Treatment for uncomplicated urinary tract infections usually consists of a single dose of medication for 3 to 7 days, although the 1-day regimen was proved to be quite effective.
Journal ArticleDOI

Urinary Tract Infections in Women

TL;DR: Epidemiology and pathogenesis of urinary tract infection in women is reviewed; common patterns of infection, clinical red flags, and appropriate laboratory testing and imaging are characterized; emerging patterns of antimicrobial resistance are explored; and updated guidelines for the treatment of uncomplicated UTI in women are reviewed.
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