出版社：International Medical Journal Management and Indexing System
摘要：It is well known that gentle milking of distal urethra result in colonization of bladder by organisms. Sexual intercourse is also shown to be one of the strongest factor linked to urinary-tract infection (UTI) and recurrent urinary-tract infec- tion (RUTI). We postulated that this may also result from local minor trauma of gynecological examination. This study was designed to assess the impact of gynecological examination on urinalysis among sexually active women attending for routine gynecological visit. One hundred sexually active, married women with no symptoms and signs of UTI and reproductive tract infection (RTI) were included into the study. The urine dipstick test results, direct microscopy results and urine culture results were obtained. Fifty of patients who gave midstream urine specimens on the day of gyneco- logical examination were considered as Group I and the other fifty of patients who gave the urine specimens two days after the gynecological exami- nation were considered as Group II. Dipstick test results and direct microscopy results were com- pared. At the last part of the study; all patients were followed up for a month period in order to catch a gynecology department admittance with a symptom or signs of UTI. Results: According to urine dipstick test results the nitrite positivity was found 83,3% in Group I and 16,7% in Group II. 71,4% and 28,6% of urine specimens of Group I and Group II showed leukocyte esterase positivity. Direct microscopic evaluation of urine specimens of Group I and Group II showed 62,5% and 37,5% presence of more than five leukocytes. Bacteria was found in 57,7% and 42,3% in urine specimens of Group I and Group II by direct microscopic evaluation. All of the urine cultures results were negative for both groups. Conclusion: Urine analy- sis must be performed under ideal circumstances. Gynecological examination is an important factor that negatively influences urine test results. Time interval between gynecological examination and urine analysis affects the urine analysis results. In our opinion; giving decision about urine analysis which were performed immediately after a gyneco- logical examination will led to making mistakes, unnecessary medications, increased medical costs and increased bacterial antibiotic resistance. In order to reach sufficient data, randomized con- trolled prospective studies with adequate sample size are needed to investigate the negative effect of gynecological examination on urine analysis and subsequent UTI.
