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The Role of Excretory Urography and Cystoscopy in the Evaluation and Management of Women with Recurrent Urinary Tract Infection

1980; Lippincott Williams & Wilkins; Volume: 123; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)55849-8

1527-3792

Geoffery Engel, Anthony J. Schaeffer, John T. Grayhack, Earl F. Wendel,

Diverticular Disease and Complications

No AccessJournal of Urology1 Feb 1980The Role of Excretory Urography and Cystoscopy in the Evaluation and Management of Women with Recurrent Urinary Tract Infection Geoffery Engel, Anthony J. Schaeffer, John T. Grayhack, and Earl F. Wendel Geoffery EngelGeoffery Engel More articles by this author , Anthony J. SchaefferAnthony J. Schaeffer More articles by this author , John T. GrayhackJohn T. Grayhack More articles by this author , and Earl F. WendelEarl F. Wendel More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)55849-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We examined the roles of excretory urography and cystoscopy in the evaluation and management of 153 otherwise healthy women seen consecutively with recurrent urinary tract infections. The excretory urograms were entirely normal in 89 per cent of the patients; the abnormalities were incidental findings with no influence on subsequent management. These results, combined with the known expense and risks inherent in the use of iodinated radiologic contrast material, suggest that excretory urography be limited to those patients possessing other risk factors. These include a history of unexplained hematuria, obstructive symptoms, neurogenic bladder dysfunction, renal calculi, analgesic abuse, severe diabetes mellitus or bacteriologic evidence of rapid recurrence suggesting bacterial persistence within the urinary tract or an enterovesical fistula. On the other hand, cystoscopy under local anesthesia has essentially no risks and occasionally will yield information helpful in future management. © 1980 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByWu Y, Rego L, Christie A, Lavelle R, Alhalabi F and Zimmern P (2018) Recurrent Urinary Tract Infections Due to Bacterial Persistence or Reinfection in Women—Does This Factor Impact Upper Tract Imaging Findings?Journal of Urology, VOL. 196, NO. 2, (422-428), Online publication date: 1-Aug-2016.SCHAEFFER A and STUPPY B (2018) EFFICACY AND SAFETY OF SELF-START THERAPY IN WOMEN WITH RECURRENT URINARY TRACT INFECTIONSJournal of Urology, VOL. 161, NO. 1, (207-211), Online publication date: 1-Jan-1999.Uehling D, Hopkins W, Balish E, Xing Y and Heisey D (2018) Vaginal Mucosal Immunization for Recurrent Urinary Tract Infection: Phase II Clinical TrialJournal of Urology, VOL. 157, NO. 6, (2049-2052), Online publication date: 1-Jun-1997.Uehling D, Hopkins W, Dahmer L and Balish E (2018) Phase I Clinical Trial of Vaginal Mucosal Immunization for Recurrent Urinary Tract InfectionJournal of Urology, VOL. 152, NO. 6 Part 2, (2308-2311), Online publication date: 1-Dec-1994.Uehling D, Hopkins W, James L and Balish E (2018) Vaginal Immunization of Monkeys against Urinary Tract Infection with a Multi-Strain VaccineJournal of Urology, VOL. 151, NO. 1, (214-216), Online publication date: 1-Jan-1994.Uehling D, James L, Hopkins W and Balish E (2018) Immunization Against Urinary Tract Infection with a Multi-Valent Vaginal VaccineJournal of Urology, VOL. 146, NO. 1, (223-226), Online publication date: 1-Jul-1991.Sandberg T, Stokland E, Brolin I, Lidin-Janson G and Edén C (2018) Selective Use of Excretory Urography in Women with Acute PyelonephritisJournal of Urology, VOL. 141, NO. 6, (1290-1294), Online publication date: 1-Jun-1989.Konnak J and Grossman H (2018) Renal Cell Carcinoma as an Incidental FindingJournal of Urology, VOL. 134, NO. 6, (1094-1096), Online publication date: 1-Dec-1985.Redman J and Seibert J (2018) The Role of Excretory Urography in the Evaluation of Girls with Urinary Tract InfectionJournal of Urology, VOL. 132, NO. 5, (953-954), Online publication date: 1-Nov-1984. (2018) Editorial CommentJournal of Urology, VOL. 132, NO. 5, (954-955), Online publication date: 1-Nov-1984.Fairchild T, Shuman W and Berger R (2018) Radiographic Studies for Women with Recurrent Urinary Tract InfectionsJournal of Urology, VOL. 128, NO. 2, (344-345), Online publication date: 1-Aug-1982. Volume 123Issue 2February 1980Page: 190-191 Advertisement Copyright & Permissions© 1980 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Geoffery Engel More articles by this author Anthony J. Schaeffer More articles by this author John T. Grayhack More articles by this author Earl F. Wendel More articles by this author Expand All Advertisement PDF DownloadLoading ...