Family Medicine Center, University of Illinois at Chicago College of Medicine, Chicago, IL 60607, USA.
J Am Board Fam Med. 2011 May-Jun;24(3):290-5. doi: 10.3122/jabfm.2011.03.100209.
To determine if urinary symptoms are more common in women during the 4 weeks after a routine pelvic examination.
This was a 4-week, prospective, observational cohort study in a Family Medicine residency clinic at an urban university. Participants included women ages 18 to 40 years who identified themselves as sexually active and who presented for a routine pelvic examination. Controls were women presenting for other health maintenance with no pelvic examination. Independent variables included age, pelvic examination/no pelvic examination, intercourse frequency, and condom use. Dependent variables included dysuria and urinary frequency. Relative rates of dysuria and frequency were compared using χ(2) analysis. Mean rates of dysuria, frequency, intercourse, and condom use were compared using 2-tailed t tests.
Sixty-three subjects and 87 controls completed the study. More subjects had days with dysuria (17% vs 7%; P < .01), days with frequency (27% vs 14%; P < .01), days with both dysuria and frequency (13% vs 3%; P < .01), and days with either dysuria or frequency (32% vs 17%; P < .01). Subjects had less intercourse than controls (1.6 times per week vs 2.2 times per week; P < .01) and used condoms less frequently (33% vs 41%; P < .01).
Dysuria and urinary frequency are more common among sexually active women during the month after a routine pelvic examination.
确定在常规盆腔检查后 4 周内女性是否更常出现尿路症状。
这是一项为期 4 周的前瞻性观察队列研究，在城市大学的家庭医学住院医师诊所进行。参与者包括年龄在 18 至 40 岁之间、自我认同为有性生活的女性，并因常规盆腔检查就诊。对照组为因其他健康维护就诊且无盆腔检查的女性。自变量包括年龄、盆腔检查/无盆腔检查、性交频率和使用避孕套。因变量包括尿痛和尿频。使用 χ(2)分析比较尿痛和频率的相对发生率。使用双尾 t 检验比较尿痛、频率、性交和使用避孕套的平均发生率。
63 名受试者和 87 名对照组完成了研究。更多的受试者出现尿痛日（17% vs 7%；P <.01）、尿频日（27% vs 14%；P <.01）、同时有尿痛和尿频日（13% vs 3%；P <.01）和有尿痛或尿频日（32% vs 17%；P <.01）。与对照组相比，受试者的性交次数较少（每周 1.6 次 vs 每周 2.2 次；P <.01），使用避孕套的频率较低（33% vs 41%；P <.01）。
在常规盆腔检查后一个月内，有性生活的女性更常出现尿痛和尿频。
