Urinary Incontinence Is Not More Severe With Bacteriuria


SAVANNAH, GA. — Urinary incontinence symptoms do not appear to be more prevalent or more severe in women with bacteriuria, based on a study of 530 urogynecology patients seen at one institution.

Dr. Mary P. Fitzgerald, of the obstetrics and gynecology department at Loyola University in Chicago, and her colleagues conducted a chart review of all new urogynecology patients seen from March to December 2004. Scores from the Urogenital Distress Inventory (UDI6) and Medical, Epidemiological, and Social Aspects of Aging (MESA) incontinence questionnaires were available. Urine cultures had been obtained by catheterization. Significant infection was considered to be present if at least 10,000 colonies of uropathogen were present.

Of the 530 patients, 62 (12%) had positive cultures, Dr. Fitzgerald reported in a poster session at the annual meeting of the Society of Gynecologic Surgeons. UDI6 and MESA scores were compared between women with and without positive cultures. Uropathogen antibiotic sensitivities were compared with those of the general hospital population at that time.

Uropathogens included Escherichia coli (43), Klebsiella pneumoniae (13), Proteus mirabilis (4), Group B Streptococcus (1), and Citrobacter freundii complex (4). Antibiotic resistance profiles of the uropathogens were similar to those found in the general hospital population.

“We suggest that incontinence may not be a reliable symptom of bacteriuria in women attending a female urology/urogynecology clinic,” the researchers wrote.

Dr. Fitzgerald reported that she had no relevant financial relationships.

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