The interrelations of genital lesions-urinary tract infections in girls

This investigation was aimed at emphasizing the importance of early detection and elimination of the favoring factors which associated with an adequate treatment of urinary tract infection (UTI) represent the only way to prevent the recurrences that with time might cause severe kidney dysfunctions. It is a retrospective study of 220 girls aged 1 month to 16 years referred in the interval 1993-1997 to Ia?i Polyclinic No. 1 for pediatric gynecological examination and diagnosed with urinary tract infection. The clinical and laboratory evaluations were directed at determining the site of UTI, the factors that favored the recurrences, and the effects on renal function. The following favoring factors were found: disorders of the genital tract (22.2%), constipation (11.6%), oxyuriasis (4.5%), urinary tract obstructions (5.9%). The genital tract disorders were represented by inflammation (70%) (vaginitis, vulvovaginitis) and malformations (30%) (labia minora fusion, imperforate hymen, etc). The specific inflammation (48.5%) was mycotic (41.1%), bacterial (29.3%), the same pathogen being detected both in urine and vaginal discharge, trichomonal (17.6%), and gonococcal (11.6%). The high rate of recurrence in some UTI cases has proved once again the important role played by the favoring factors (genital tract disorders, urinary tract obstruction, constipation) and suggested that the correction of these conditions should be the only reasonable way to prevent recurrences.