Related Experiment Video
Updated: Jan 9, 2026
03:49
Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
20.7K
Is self-reported recurrent urinary tract infection associated with anal incontinence and obstructive defecation? A
Thomas J Curtis1,2, Roberta Bugeja3, Stephen C Radley4,5
1Department of Obstetrics & Gynaecology, Norfolk & Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Summary
Anal incontinence (AI) and obstructive defecation (ODS) are linked to higher rates of recurrent urinary tract infections (rUTI) in women. These conditions are identified as significant risk factors contributing to the development of rUTI.
Area of Science:
- Urology
- Gastroenterology
- Pelvic Floor Disorders
Background:
- The established model for female urinary tract infection (UTI) involves ascending infection from the anus.
- Anal incontinence (AI) and obstructive defecation (ODS) have not been previously confirmed as risk factors for recurrent UTI (rUTI).
Purpose of the Study:
- To investigate the association between AI and ODS with self-reported rUTI in women.
- Utilize patient-reported outcome measure (PROM) data to explore this relationship.
Main Methods:
- Analysis of 7990 ePAQ-Pelvic Floor PROMs from seven NHS hospitals (2018-2022).
- Inclusion criteria required completion of bowel dimension and rUTI items.
- Statistical analyses included Mann-Whitney, logistic regression, and Spearman's rank correlation.
Main Results:
- 11.7% of participants reported rUTI.
- Women with rUTI reported significantly worse symptoms of flatus incontinence, liquid AI, solid AI, passive faecal incontinence, and pad use for AI.
- Perineal splinting/vaginal digitation and anal digitation were also associated with rUTI.
- UTI frequency showed a weak correlation with all AI and ODS symptoms.
Conclusions:
- AI and ODS symptoms are significantly associated with increased self-reported rUTI rates.
- These findings support the hypothesis that AI and ODS contribute to the pathogenesis of rUTI in women.
- AI and ODS are identified as contributory risk factors for rUTI, alongside other multifactorial causes.
Related Concept Videos
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
232
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
232
01:25Assessment of the Rectum and Anus
1.0K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.0K
01:25Urinary Tract Infection II: Pathophysiology
537
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
537
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
353
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
353
01:23Urinary Bladder
3.0K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
3.0K
01:26Urinary Tract Infection I: Introduction
514
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
514