|October 2012 · Vol. 24, No. 10
PELVIC FLOOR DYSFUNCTION
How to prevent recurrent urinary tract infection in sexually active premenopausal women, postmenopausal patients, and women undergoing pelvic surgery
IN THIS ARTICLE
Summary of therapeutic strategies for recurrent UTI
Antibiotic prophylaxis after pelvic surgery?
Vaginal estrogen prevents recurrent UTI in postmenopausal women
Dr. Edenfield is a Fellow in Female Pelvic Medicine and Reconstructive Surgery and Clinical Instructor of Obstetrics and Gynecology at Duke University Medical Center in Durham, North Carolina.
Dr. Amundsen is Professor and Fellowship Director in Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, at Duke University Medical Center in Durham, North Carolina.
The authors report no financial relationships relevant to this article.
Urinary tract infections (UTIs) are prevalent among women, afflicting as many as 60% of women during their lifetime.1 Symptoms include urgency, frequency, and dysuria. Although the diagnosis can be made on the basis of symptoms alone in many cases, urinalysis and urine cultures often are helpful in confirming it.2 The differential diagnosis includes infectious or atrophic vaginitis, urethritis from a sexually transmitted infection, urethral diverticulum, painful bladder syndrome, urinary tract calculi, and urinary tract neoplasms. Common risk factors for UTIs are listed in TABLE 1.3
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