Venugopal P
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10 Mar 2023 08:34:24 AMrUTI in Women - Do Variations in Labial Anatomy have an effect
Dear All,
rUTI in women is such a
common condition that we think we know all about its causation and modes of
treatments. But newer facts continue to surface and we are left wondering at
the magnitude of knowledge yet to be unearthed.
Although there are
many causes of recurrent UTIs, this study by Arif Aydin* et al (2020) showed that vaginal pH imbalance and
labium minor anatomy in the lower third prominence form based on the Banwell classification
(type 3) may be among the significant causes.
Do variations in labial anatomy have an
effect on recurrent urinary tract infection?
https://link.springer.com/article/10.1007/s00192-020-04310-8 (PDF available)
According to this study,
there are two different theories about why the labial anatomy may cause UTI:
-
Direct ascending transmission due to the proximity of type 3 labia
minora to the anus
-
Due to genital cleaning with water after toileting, the labia minora are
wetted by water used for anus cleaning, which is significant for colonization.
Daily vaginal discharge
is important for a healthy vagina. Labia minora which is described as type 3
appear closed; however, this situation may vary for reasons such as the number
of births, frequency of sexual relations, weight increases and variable vaginal
discharge.
Though the authors do not
propose labial surgeries for rUTI, labial Anatomy need be given importance in
causation of rUTI in women. Though there are several classifications for the
Anatomy of Labial Minora, the authors prefer the Banwell Classification over
other Classifications.
The various Classifications
available are provided in the PDF .
I am sure when dealing
with rUTI in women; this aspect will also be given its due importance.
With Warm Regards,
Venu
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