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Urogynaecological infections: the perspective of a urogynaecologist

Publication at First Faculty of Medicine |
2014

Abstract

Vulvovaginal infections are among the most common problems encountered in routine everyday gynaecological practice. Urologists often require collaboration with gynaecologists in the case of women with recurrent urinary tract infections when they need to rule out chronic vulvovaginal infection as a cause of the complaints.

Most patients with vulvovaginal infection only require a simple examination and treatment. Nevertheless, in a proportion of women it is difficult to establish the correct diagnosis or they respond poorly to standard therapy.

Classic manifestations of infections include discharge, itching or burning of the vulva. The conditions can be classified into viral, bacterial, yeast or parasitic according to the causative agent.

This group of infectious diseases includes trichomoniasis, vulvovaginal candidiasis, bacterial vaginosis (BV), aerobic vaginitis (newly described in 2002; separated from BV), atrophic vaginitis, genital herpes, and relatively recently (in 1994) described vaginal lactobacillosis.