SUFU 2021: Office Flexible Cystoscopy and Voiding Cystourethrogram in the Evaluation of Women With rUTIs Influence Their Management

( A prospectively maintained database of consecutive women evaluated for recurrent urinary tract infections (rUTI) was retrospectively reviewed for findings of flexible cystoscopy and voiding cystourethrogram (VCUG).

Demographic data analyzed included parity, gravity, body. mass index (BMI), age, ethnicity, race, smoking history, duration of urinary tract infection (UTI) history, history of diabetes, hormone replacement therapy (HRT), prior urological surgeries, sexual activity and possible relationship with rUTIs, coital prophylaxis use, urine culture findings, antibiotic resistance/allergies, cystoscopy, standing VCUG findings, and treatment.

Between 2018- 2019, 86 women were evaluated for rUTIs. Sixty-two (78%) had VCUG findings possibly related to their rUTIs while 67 (79%) women had cystoscopy findings possibly related to their rUTIs. Of the 67 women with abnormal cystoscopy, 40 (60%) underwent electro fulguration of areas of chronic inflammation, 11 (16%) urethral dilation, 15 (22%) prolapse repair, 39 (58%) a mesh sling removal, and 19 (28%) other surgical procedures. Of the 62 women with abnormal VCUG findings, 30 (48%) underwent fulguration, 9 (15%) had urethral dilation, 23 (37%) had prolapse repair, 30 (48%) had mesh removal and 16 (26%) had another surgical procedure done. More than three-quarters of women evaluated for rUTIs in this tertiary care clinic were found to have abnormalities in either VCUG or flexible cystoscopy, significant and surprising findings.

Presented by: Janett Ordonez, Department of Urology, Alana L. Christie, Simmons Compr Cancer Center, Philippe E. Zimmern, Department of Urology U.T. Southwestern Medical Center, Dallas, Texas

Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting.