Asymptomatic bacteriuria and symptomatic urinary tract infections UTIs in older women are commonly encountered in outpatient practice. To review management of asymptomatic bacteriuria and symptomatic UTI and review prevention of recurrent UTIs in older community-dwelling women. A search of Ovid Medline, PsycINFO, Embase for English-language human studies conducted among adults aged 65 years and older and published in peer-reviewed journals from to November 20, Recent evidence helps differentiate asymptomatic bacteriuria from symptomatic UTI. Asymptomatic bacteriuria is transient in older women, often resolves without any treatment, and is not associated with morbidity or mortality. The diagnosis of symptomatic UTI is made when a patient has both clinical features and laboratory evidence of a urinary infection. Absent other causes, patients presenting with any 2 of the following meet the clinical diagnostic criteria for symptomatic UTI: fever, worsened urinary urgency or frequency, acute dysuria, suprapubic tenderness, or costovertebral angle pain or tenderness. Risk factors for recurrent symptomatic UTI include diabetes, functional disability, recent sexual intercourse, prior history of urogynecologic surgery, urinary retention, and urinary incontinence. Testing for UTI is easily performed in the clinic using dipstick tests. When there is a low pretest probability of UTI, a negative dipstick result for leukocyte esterase and nitrites excludes infection.


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Topic Overview
Urethral prolapse urethrocele occurs when the urethra pushes into the vaginal canal. It also can happen when the urethra protrudes out of the urethral opening. The urethra is a tube that carries urine from the bladder to the outside of the body. Typically, the urethra is held in place by a series of ligaments, muscles, and tissue. However, those supporting elements can give away for various reasons. When the urethra slips from its normal position, it can push into the vagina, slip out of the urethral opening, or both. In many cases, bladder prolapse cystocele also occurs with urethral prolapse. This combination of conditions is called cystourethrocele. People with mild or minor prolapse may not feel any symptoms. As the prolapse becomes more severe, symptoms may include:.
Topic Contents
A urinary tract infection UTI is a bacterial infection that affects your urinary system, including your urethra, bladder, ureters, and kidneys. Although a UTI can affect any part of your urinary system, it most often causes an infection in your bladder. This is known as cystitis. This can lead to infection and inflammation, which is known as a UTI. According to a review , UTIs will likely affect at least 50 to 60 percent of women in their lifetime.
Top of the page Check Your Symptoms. Most people will have some kind of urinary problem or injury in their lifetime. Urinary tract problems and injuries can range from minor to more serious. Sometimes, minor and serious problems can start with the same symptoms. Many urinary problems and injuries are minor, and home treatment is all that is needed to relieve your symptoms. See pictures of the female urinary system and male urinary system. Many things can affect urine colour, including fluid balance, diet, medicines, and diseases. How dark or light the colour is tells you how much water is in it. Vitamin B supplements can turn urine bright yellow. Some medicines, blackberries, beets, rhubarb, or blood in the urine can turn urine red-brown.