Abstract
Objectives. To evaluate the association of various clinical and urodynamic variables with history of urinary tract infections (UTIs) in women. Methods. A prospective study of 2,081 women referred to a urogynecologic clinic between June 2000 and November 2005 for investigation of lower urinary tract symptoms. Results. 144 women reported history of UTI(s) within the last year from the visit to the clinic, and 91 had recurrent episodes (≥3 per year). The multivariable analysis showed that urge incontinence (odds ratio (OR) = 2.23, 95% confidence interval (CI): 1.46–3.42), suprapubic pain (OR = 4.12, 95% CI: 2.21–7.67), and low maximum flow rate during voiding cystometry (OR = 0.96, 95% CI: 0.94–0.98) were associated with UTIs. Conclusions. Our results suggest that urodynamic testing does not help in identifying specific urogynecologic mechanisms that could improve medical and/or surgical management or prevent recurrent UTI.