The full guideline will be published in the near future in the journal Neurourology and Urodynamics. To summarize, however, the following patients would be included in statements that recommend prophylaxis: those with neurogenic lower urinary tract dysfunction, elevated postvoid residual, advanced age, asymptomatic bacteriuria, immunosuppression, chronic catheters, and/or total joint replacement within 2 years or with risk factors.
Dr. Anne P. Cameron presented the initial data on 510 women enrolled at the six Lower Urinary Tract Dysfunction Research Network sites. Using patient-reported outcomes data from multiple questionnaires, researchers found that there was significant overlap of the types of incontinence reported. Also, of the 425 women who reported incontinence, this symptom was much more likely to be mixed rather than purely the stress or the urgency type. Patients of both sexes who reported incontinence also reported worse sexual function as well as constipation, diarrhea, and fecal incontinence. Among women with incontinence, mixed incontinence was associated with worse sexual function and more symptoms of pelvic organ prolapse compared with stress or urgency incontinence alone.
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Written by: Lindsey Cox, MD, Medical University of South Carolina
at 2017 SUFU - Society of Urodynamics, Female Pelvic Medicine, February 28 – March 2, 2017 Scottsdale, Arizona, USA