Do variations in labial anatomy have an effect on recurrent urinary tract infection?

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dc.authorid0000-0003-4833-8978
dc.contributor.authorAydın, Arif
dc.contributor.authorAtılgan, Adeviye Elçi
dc.contributor.authorSönmez, Mehmet Giray
dc.contributor.authorSönmez, Leyla
dc.contributor.authorBoğa, Mehmet Salih
dc.contributor.authorBalasar, Mehmet
dc.date.accessioned2020-10-21T07:15:17Z
dc.date.available2020-10-21T07:15:17Z
dc.date.issued2020
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractIntroduction and hypothesis Variations in labial anatomy may constitute a risk factor for vaginal pH increase and recurrent UTIs. Our objective in this study was to show the effects of variations in labial anatomy on vaginal pH and recurrent UTI. Methods A total of 331 non-menopausal and sexually active patients between the ages of 18 and 50, meeting recurrent urinary infection criteria and not meeting exclusion criteria were included in the study in group 1, the infection group, and 440 patients without recurrent UTI were included in group 2, the control group. Vaginal pH values of the participants were measured. Labia minora were classified as labial anatomy based on the Banwell classification. Predisposing factors and demographic data were also questioned, measured, recorded, and compared. Results A significant difference was detected in labial anatomy between groups 1 and 2 based on the Banwell classification. Banwell type 3 in group 1 (76%) and Banwell type 2 in group 2 (55%) were observed to be significantly higher. There was a significant difference in right and left vertical and horizontal dimensions of the labia minora between the two groups. It was also observed that the vaginal pH was significantly more alkaline in group 1 compared with group 2 (6.11 vs 4.48). Conclusion Although there are many causes of recurrent urinary tract infections, this study showed that vaginal pH imbalance and labia minora anatomy in the lower third prominence based on the Banwell classification (type 3) were among the most important causes. Thus, we think that the vaginal anatomy should be evaluated in recurrent UTI patients.
dc.identifier.citationAydın, A., Atılgan, A. E., Sönmez, M. G., Sönmez, L., Boğa, M. S. ve Balasar, M. (2020). Do variations in labial anatomy have an effect on recurrent urinary tract infection? International Urogynecology Journal, 31(10), 2129-2136. https://dx.doi.org/10.1007/s00192-020-04310-8
dc.identifier.doi10.1007/s00192-020-04310-8
dc.identifier.endpage2136
dc.identifier.issn0937-3462
dc.identifier.issn1433-3023
dc.identifier.issue10
dc.identifier.scopusqualityQ1
dc.identifier.startpage2129
dc.identifier.urihttps://dx.doi.org/10.1007/s00192-020-04310-8
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5947
dc.identifier.volume31
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer London Ltd
dc.relation.ispartofInternational Urogynecology Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectRecurrent UTI
dc.subjectLabial Anatomy
dc.subjectVaginal Ph
dc.subjectBanwell Classification
dc.subjectLabial Variations
dc.titleDo variations in labial anatomy have an effect on recurrent urinary tract infection?
dc.typeArticle

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