Diaphragm use and urinary tract infections: analysis of urodynamic and microbiological factors

The Journal of Urology
S FihnW E Stamm

Abstract

To investigate how diaphragm use predisposes to urinary tract infection we studied 22 women who experienced 1 or more urinary tract infections while using a diaphragm and 21 who used a diaphragm and did not have a urinary tract infection. For women with and without a prior urinary tract infection the mean peak urine flow rate was significantly less with than without a diaphragm. However, the mean decrease in peak urine flow rate with a diaphragm was not significantly greater for women with a prior urinary tract infection. There also was no significant increase in time to peak flow with the diaphragm in place. Women who reported a sensation of obstruction to voiding with a diaphragm demonstrated a significant decrease in peak urine flow rate and this finding was particularly apparent in those with a history of urinary tract infection in whom the peak urine flow rate decreased by an average of 10.0 ml. per second. Current users of a diaphragm with a history of urinary tract infection had heavier growth of coliform organisms from cultures of the vagina and urethra, and significantly more episodes of infection than women without such a history (p equals 0.03 and 0.05, respectively). We conclude that use of a diaphragm can cause uri...Continue Reading

References

Feb 9, 1978·The New England Journal of Medicine·R M BuckleyR R MacGregor
Apr 1, 1976·The Journal of Urology·D M GleasonG W Drach
Apr 15, 1973·American Journal of Obstetrics and Gynecology·O H Bolch, J C Warren
Aug 1, 1984·The Australian & New Zealand Journal of Obstetrics & Gynaecology·B A PeddieH McGill
Mar 1, 1982·Reviews of Infectious Diseases·G W CountsM Turck
Aug 19, 1982·The New England Journal of Medicine·W E StammK K Holmes
Jun 1, 1981·British Journal of Obstetrics and Gynaecology·B WattM P Vessey

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Citations

Feb 15, 1995·Hospital Practice·T M Hooton

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