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Quality of life in patients with recurrent urinary tract infections associated with sexually transmitted diseases – A healthcare problem

Abstract number: P2160

Loran O., Sinyakova L., Kosova I.

Objectives: Probably 60% of women with sexual dysfunction and 61% of women with dyspareunia have recurrent urinary tract infection.

Methods: 120 patients with recurrent urinary tract infections (UTI) in age of 16–40 years old were examined from 2003–2007. Polymerase chain reaction (PCR), culture methods and serological tests were used for detection of sexually transmitted diseases, urinary culture for bacteriological tests of urine. Questionnaire "Pelvic Pain and Urgency/Frequency Patient Symptom Score" by L. Parson was used for quality of life tests.

Results:E. coli was detected in 55.1% (43) cases. Presence of agents of STD were found in 84.2% (101): Ureaplasma urealyticum in 34.5%(35) of patients, Chlamydia trachomatis in 20% (20) of patients, Herpes simplex I, II type in 25.2% (26) patients, in other 20% (20) cases it was mixed-infection. Pollakiuria up to 11–14 times per day in latent period had 31.6% (38) of patients, 96% (115) of women had dyspareunia, and because of pain and urinary tract symptoms during or after intercourse 92% (110) of patients avoid sexual life. Mild and extensive pain associated with bladder, pelvis, vagina, perineum, urethra during intercourse which leads to social and sexual disadaptation of women had 86% (103) of patients. Urgency and frequency after sexual intercourse had 88% (105) of patients, but extensive symptoms had only 28% (34)of patients. Symptom score less than 10 was in 8% (10), 10–14 in 28% (34), 15–19 – 36% (43) and more than 20 – 28% (34) of patients.

Conclusion: Recurrent urinary tract infections associated with STD in patents in young reproductive age lead to social and sexual disadaptation of women and decrease their quality of life.

Session Details

Date: 19/04/2008
Time: 00:00-00:00
Session name: 18th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Barcelona, Spain
Presentation type:
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