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June 8, 1979

Behavioral Factors and Urinary Tract Infection

Author Affiliations

From the Departments of Sociology (Ms Adatto) and Family Medicine (Dr Galland) and University Health Services (Ms Doebele), State University of New York (Dr Granowetter), Stony Brook.

JAMA. 1979;241(23):2525-2526. doi:10.1001/jama.1979.03290490031020

Voiding and sexual habits of 84 female university students with a history of recurrent urinary infection were compared with those of a control group. There was one highly significant difference between the two groups: 61% of the patients but only 11% of the controls gave a history of regular voluntary deferral of micturition for periods of one hour to longer than six hours. Sexual practices among patients and controls were remarkably similar. A behavioral regimen stressing regular, complete bladder emptying was shown to be effective in preventing reinfection in the patient group. Voluntary urinary retention may play a pathogenic role in women with recurrent urinary tract infection, and its correction may play an important part in the management of urinary tract infection.

(JAMA 241:2525-2526, 1979)

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