Risk factors and frequency of urinary tract infection in female patients with urinary incontinence

Urinary incontinance which is defined as an urinating without will that becomes a social and/or health problem by the International Continence Society. It is a big health problem that affects approximately 200 billion people a year worldwide. It causes psychological and medical morbidity by affecting life quality. Urinary tract infection includes the disease groups that are commonly seen worldwide which causes serious morbidities sometime and takes big places in the health costs of the countries. These two common diseases are seem to be related between each other. In this study we aimed to evaluate the risk factors especially urinary incontinance that lead to urinary tract infection.Medical records of 1060 female patients who applied to the Women Urology section of the Gazi University School of Medicine Urology Department between September 2002 - January 2010 were examined and 979 patients with urinary incontinence included to the study. 72 patients who have positive urine culture are accepted as group A and 907 patients who don?t have bacteria in the urine culture are accepted as Group B. Data?s about age, stress urinary incontinence, urge urinary incontinance, mixed urinary incontinance, parity, type of delivery, hard delivery history, hysterectomy history, constipation, postmenauposal symptom, obstructive urinary symptoms, urinary tract infection history, systemic illnesses such as diabetes mellitus, neurologic disorders, smoking history were obtained from the medical records of the patients. In addition, the information that obtained from the urogenital examination which includes body mass index, vaginal- urethra atrophy, Q type, cystocele and rectocele grade were evaluated.In this study in the monovariate analysis getting older, higher post void residual urine, smaller Qmax, postmenauposal symptoms, diabetes mellitus, neurologic disorders, vaginal-urethral atrophy and the abnormality of the uroflow graphic are found as the risk factors for the urinary tract infection. In multivariate analysis only diabetes mellitus is found to be statistically meaningful as a risk factor for developing urinary tract infection.