Evaluation of the diagnostic workup in young women referred for recurrent lower urinary tract infections.

摘要: Abstract Objectives. To evaluate the current practice of diagnostic workup in The Netherlands and clinical relevancy outcome various procedures young women referred for recurrent lower urinary tract infections (UTIs). Methods. A questionnaire was sent to all urologic departments (n = 104) inquiring about used UTIs. Furthermore, we performed a prospective study 100 consecutive female patients (18 40 years old) evaluation All underwent standardized workup: questionnaire, voiding diary, physical examination, urinalysis culture, abdominal x-ray with ultrasound or intravenous urography, cystoscopy. Results. response rate questionnaires 92%. standard were laboratory blood tests 56%, cystoscopy 69%, plain 91%, 59%. Only 18% urologists asked every patient make voided urine frequency volume chart. In our group patients, radiologic revealed only one relevant abnormality. Cystoscopy confirmed cystitis 22 but never findings. None these ever contributed diagnosis. 24-hour output less than 1.5 L 43 which considered insufficient. individual self-reports fluid intake unreliable. Conclusions. Many Dutch perform an extensive routine results that yield most is low. focus evaluating should be directed toward behavioral aspects. Thus, can restricted urinalysis, culture.