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October 2012 · Vol. 24, No. 10

UPDATE:
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

Drs. Amundsen and Edenfield offer a novel strategy to prevent
recurrent UTI in premenopausal women

HAVE YOU READ THESE RELATED ARTICLES?

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Update on Menopause
Andrew M. Kaunitz, MD (May 2012)

Autumn L. Edenfield, MD

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.

Cindy L. Amundsen, MD

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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