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Cystometry: unstable bladder and urinary tract infection.

N N Bhatia, A Bergman

British Journal of Urology

|April 1, 1986

Summary

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Urinary tract infections significantly increase bladder instability detected during cystometry. Treating these infections reduces instability by 50%, highlighting the importance of infection management before addressing bladder dysfunction.

Area of Science:

Urology
Infectious Diseases
Gynecology

Background:

Urinary tract infections (UTIs) are common and can cause lower urinary tract symptoms.
Bladder instability is a condition characterized by involuntary bladder contractions.
The relationship between UTIs and bladder instability requires further clarification.

Purpose of the Study:

To investigate the impact of urinary infections on the incidence of bladder instability.
To assess changes in bladder instability following UTI treatment.

Main Methods:

Cystometry was performed on 15 women with significant bacteriuria (≥10^5 organisms/ml).
Cystometry was repeated 2 weeks after antibiotic treatment for the UTI.
Incidence of bladder instability and other cystometric parameters were compared pre- and post-treatment.

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Main Results:

The pre-treatment incidence of bladder instability was 53%.
Following UTI treatment, the incidence of bladder instability decreased by 50%.
Other cystometric measurements showed no significant changes after infection treatment.

Conclusions:

Urinary tract infections contribute to the manifestation of bladder instability.
Adequate treatment of UTIs is crucial before initiating therapies for bladder instability.
These findings underscore the importance of addressing underlying infections in patients presenting with bladder dysfunction symptoms.