Evaluation of Correlations Between Bladder Detrusor Overactivity and Lower Urinary Tract Infections

Huasheng Zhao, N. Xiao, Jian Wang, Q. Tang
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Abstract

Lower Urinary Tract Infections (LUTIs) are regarded as the most frequent form of bacterial infections and bladder Detrusor Overactivity (DO) are considered to contribute to  (OAB), including urinary urgency, urinary frequency, with or without Urgency Incontinence (UI), which is common disorder and influences patient's health and quality of life. Since 1960s, studies had focused on whether DO is the etiological factors of recurrent LUTIs or the inverse. Although the definite correlation between DO and LUTIs have not been proved, urinary microbiota may play a role in genesis of DO that was found by mounting evidences using enhanced urine culture technique and pathophysiological variations of bladder detrusor facilitates bacterial colonization in bladder urothelium. In the future, clarification of correlation between DO and LUTIs needs more scheduled studies and more researches that link the urinary microbiota with Central Nervous System (CNS) function to provide accurately information to help us manage the patients more appropriately.
膀胱逼尿肌过度活动与下尿路感染的相关性评价
下尿路感染(LUTIs)被认为是最常见的细菌感染形式,膀胱逼尿肌过度活动(DO)被认为是导致(OAB)的原因,包括尿急、尿频、伴或不伴急迫性尿失禁(UI),这是一种常见的疾病,影响患者的健康和生活质量。自20世纪60年代以来,研究主要集中在DO是复发性LUTIs的病因还是相反的因素。尽管DO与LUTIs之间的确切相关性尚未得到证实,但通过尿液培养技术和膀胱逼尿肌病理生理变化的证据发现,尿微生物群可能在DO的发生中起作用,这有利于细菌在膀胱尿路上皮中的定植。在未来,明确DO与LUTIs之间的相关性需要更多的预定研究,以及更多将泌尿系统微生物群与中枢神经系统(CNS)功能联系起来的研究,以提供准确的信息,帮助我们更合理地管理患者。
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