Abstract
A 65-yr-old woman presents with a history of chronic urinary tract infections (UTIs) for the past 8 mo. As soon as appropriate antibiotics are stopped, she gets another UTI. Antibiotic prophylaxis has not helped. She also notes recent onset of some urge incontinence and straining to void. On exam, she has significant atrophic vaginitis and a cystocele to the introitus with strain. There is a question of some apical prolapse as well. Postvoid residual (PVR) is 180 cc.
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References
Raz R, Gennesin Y, Wasser J, et al. Recurrent urinary tract infections in postmenopausal women. Clin Infect Dis 2000;30:152–156.
Klutke JJ, Bergman A. Hormonal influence of the urinary tract. Urol Clin North Am 1995;22:629.
Raz R, Stamm W. A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections. N Engl J Med 1993;329:753–756.
Zimmern PE. The role of voiding cystourethrography in the evaluation of the female lower urinary tract. Problems Urol 1991;5:23–41.
Showalter PR, Zimmern PE, Roehrborn CG, Lemack GE. Standing cystourethrogram: an outcome measure after anti-incontinence procedures and cystocele repair in women. Urology 2001;58:33–37.
Defreitas G, Zimmern P. The role of urodynamics in women with stress urinary incontinence. EAU Update Series 2003;1:135–144.
Wilson TS, Zimmern PE. Anterior vaginal wall suspension. In: Female Urology, Urogynecology, and Voiding Dysfunction (Vasavada SP, Appell RA, Sand PK, Raz S, eds.), Dekker, New York: 2005, p. 283.
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© 2007 Humana Press Inc., Totowa, NJ
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Takacs, J., Zimmern, P. (2007). Recurrent Urinary Tract Infections and Pelvic Organ Prolapse. In: Goldman, H.B., Vasavada, S.P. (eds) Female Urology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-368-4_25
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DOI: https://doi.org/10.1007/978-1-59745-368-4_25
Publisher Name: Humana Press
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