Frequency of Urinary Tract Infection Among Patients withUtero-Vaginal Prolapse

Authors

  • Nadia Ahmad Saidu Group of Teaching Hospital, Swat, Pakistan
  • Sania Tanweer Khattak Saidu Group of Teaching Hospital, Swat, Pakistan
  • Faiza Khanam Saidu Group of Teaching Hospital, Swat, Pakistan
  • Asma Ayub Saidu Group of Teaching Hospital, Swat, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i6.2745

Keywords:

Pelvic organ prolapse, Urinary bladder diseases, Urinary tract infections

Abstract

Background: Utero-vaginal prolapse is a frequent pelvic floor disorder in women especially in middle and older age groups. The condition can disturb normal bladder position and urine flow which may increase the risk of urinary tract infection. Local data regarding this problem is limited particularly from Swat region. Objective: To determine the frequency of urinary tract infection among patients with utero-vaginal prolapse. Study Design: Cross sectional study. Duration and Place of Study: This study was carried out from 1st September 2024 to 1st March 2025 in the Department of Obstetrics and Gynecology Saidu Group of Teaching Hospital Swat. Methodology: A total of 178 women aged 18 to 60 years diagnosed with utero-vaginal prolapse were included. Urinary tract infection was defined by fever above 38°C along with pyuria and positive culture. Data were analyzed using Statistical Package for Social Sciences version 25. Chi square test and Fisher exact test were applied, with p ≤ 0.05 considered significant. Results: The mean age was 46.82 ± 6.85 years. Urinary tract infection was found in 27 patients, giving a frequency of 15.20%. No statistically significant association was observed between urinary tract infection and age, body mass index, duration of symptoms, comorbidities, residence or degree of prolapse (p > 0.05). Conclusion: Urinary tract infection is a common complication among patients with utero-vaginal prolapse.

Downloads

Download data is not yet available.

References

1. Yosef H, Alemu T, Mengesha MW, Adule A. Risk factors for uterovaginal prolapse among women in public hospitals of Sidama, Ethiopia: a case control study. Front Reprod Health. 2025;7:1569449. https://doi.org/10.3389/frph.2025.1569449

2. Carroll L, O'Sullivan C, Doody C, Perrotta C, Fullen B. Pelvic organ prolapse: the lived experience. PLoS One. 2022;17(11):e0276788. https://doi.org/10.1371/journal.pone.0276788

3. Kalata U, Pomian A, Jarkiewicz M, Kondratskyi V, Lippki K, Barcz E. Influence of stress urinary incontinence and pelvic organ prolapse on depression, anxiety, and insomnia: a comparative observational study. J Clin Med. 2023;13(1):185.

https://doi.org/10.3390/jcm13010185

4. Rus A, Manea A, Cora A, Szabó B, Hălmaciu I. A rare case of severe pelvic organ prolapse with massive perineal hernia in a nulliparous woman: a case report and literature review. Diagnostics (Basel). 2025;15(19):2481.

https://doi.org/10.3390/diagnostics15192481

5. Wang C, Wang Q, Zhao X, Wang X, Zhou W, Kang L. Effects of different delivery modes on pelvic floor function in parturients 6–8 weeks after delivery using transperineal four-dimensional ultrasound. Dis Markers. 2022;2022:2334335. https://doi.org/10.1155/2022/2334335

6. Barasinski C, Debost-Legrand A, Savary D, Bouchet P, Curinier S, Vendittelli F. Does the type of pushing at delivery influence pelvic floor function at 2 months postpartum? a pragmatic randomized trial: the EOLE study. Acta Obstet Gynecol Scand. 2023;102(1):67-75.

https://doi.org/10.1111/aogs.14461

7. Arnautu AM, Nimigean VR, Nacea-Radu CA, Tilici DM, Paun DL. Menopausal hormone therapy: risks, benefits and emerging options: a narrative review. Int J Mol Sci. 2025;26(22):11098. https://doi.org/10.3390/ijms262211098

8. Obsa MS, Worji TA, Kedir NA, Kute NG. Risk factors of pelvic organ prolapse at Asella Teaching and Referral Hospital: unmatched case control study. Front Glob Womens Health. 2022;3:833823. https://doi.org/10.3389/fgwh.2022.833823

9. Ruder B, Emasu A. The promise and neglect of follow-up care in obstetric fistula treatment in Uganda. In: Wallace LJ, MacDonald ME, Storeng KT, editors. Anthropologies of global maternal and reproductive health: from policy spaces to sites of practice. Cham (CH): Springer; 2022. p. 49-64.

https://doi.org/10.1007/978-3-030-84514-8_3

10. Munno GM, La Verde M, Lettieri D, Nicoletti R, Nunziata M, Fasulo DD, et al. Pelvic organ prolapse syndrome and lower urinary tract symptom update: what’s new? Healthcare (Basel). 2023;11(10):1513.

https://doi.org/10.3390/healthcare11101513

11. Hamid R, Losco G. Pelvic organ prolapse-associated cystitis. Curr Bladder Dysfunct Rep. 2014;9(3):175-180.

https://doi.org/10.1007/s11884-014-0249-4

12. Storme O, Tirán Saucedo J, Garcia-Mora A, Dehesa-Dávila M, Naber KG. Risk factors and predisposing conditions for urinary tract infection. Ther Adv Urol. 2019;11:1756287218814382. https://doi.org/10.1177/1756287218814382

13. Baimakhanova B, Sadanov A, Trenozhnikova L, Balgimbaeva A, Baimakhanova G, Orasymbet S, et al. Understanding the burden and management of urinary tract infections in women. Diseases. 2025;13(2):59.

https://doi.org/10.3390/diseases13020059

14. Dawson ML, Cramer MS, Thompson DR, Vakili B. Microbiological analysis of urine cultures in women after pelvic reconstructive surgery. Curr Urol. 2018;11(4):212-217.

https://doi.org/10.1159/000447221

15. Töz E, Kurt S, Sahin Ç, Canda MT. Frequency of recurrent urinary tract infection in patients with pelvic organ prolapse. Res Rep Urol. 2015;7:9-12.

https://doi.org/10.2147/rru.s77061

16. Wanichsetakul P, Lekskulchai O, Mairiang K. A study of the relationship between pelvic organ prolapse and positive dipstick urinalysis in postmenopausal women. J Med Assoc Thai. 2016;99(Suppl.4):S275-S280.

17. Khan S, Ansari MA, Vasenwala SM, Mohsin Z. Urinary tract infection and associated risk factors in post-menopausal women. Int J Curr Microbiol App Sci. 2015;Special Issue-1:230-235.

18. Fakhrudin E, Fauzi A, Effendy K, Theodorus T. The risk of urinary tract infection in post-operative pelvic organ prolapse is increasing in patients with shorter urethral-anal distance. Indones J Obstet Gynecol. 2013;1-3:152-155.

https://doi.org/10.32771/inajog.v1i3.356

19. Eleje GU, Udegbunam OI, Ofojebe CJ, Adichie CV. Determinants and management outcomes of pelvic organ prolapse in a low resource setting. Ann Med Health Sci Res. 2014;4(5):796-801.

https://doi.org/10.4103/2141-9248.141578

20. Krishna UR, Iyer L. Hydroureters and hydronephrosis in longstanding uterovaginal prolapse. J Obstet Gynaecol India. 1993;43(6):576-579.

21. Zhu X, Hu C, Hu A, et al. Investigating causal links between uterine prolapse, urinary tract infections, and lower urinary tract symptoms: a two-sample Mendelian randomization study. Int J Womens Health. 2025;17:2947-2957.

https://doi.org/10.2147/IJWH.S530763

Downloads

Published

2025-06-15

How to Cite

Ahmad, N., Khattak, S. T., Khanam, F., & Ayub, A. (2025). Frequency of Urinary Tract Infection Among Patients withUtero-Vaginal Prolapse. Indus Journal of Bioscience Research, 3(6), 1269-1273. https://doi.org/10.70749/ijbr.v3i6.2745