E-Posters-10139

10139_Rolston

Pdf Summary

The aim of this study was to determine the rate and predictors of microscopic hematuria among women with pelvic floor dysfunction referred to a urogynecology clinic. A retrospective chart review was conducted on all new clinic visits at a single institution between June 2015 and July 2016.<br /><br />Of the women who had urine microscopy, over 50% had evidence of microscopic hematuria. Interestingly, almost one fourth of these women had negative blood on urine dipstick, highlighting the importance of performing urine microscopy for red blood cells (RBCs) even if the dipstick is negative.<br /><br />There were 217 women with documented urine analysis, and 142 of them had urinalysis with microscopy. Out of these, 82 women had microscopic hematuria, and 20 of them had negative blood on urine dipstick.<br /><br />The study found no difference in baseline age, parity, and body mass index between women with and without microscopic hematuria. However, women with microscopic hematuria were significantly more likely to have more than 10 white blood cells per high-powered field (23.2% vs. 5%) but were not more likely to have a positive urine culture.<br /><br />In conclusion, this study highlights the high rate of microscopic hematuria in women with pelvic floor dysfunction and the importance of urine microscopy even if the urine dipstick is negative. Women with microscopic hematuria were more likely to have higher levels of white blood cells in their urine but did not have a higher likelihood of a positive urine culture. These findings can help guide clinicians in evaluating women with urinary symptoms and reinforce the need for thorough urinary evaluation in these patients.

Keywords

microscopic hematuria

pelvic floor dysfunction

urogynecology clinic

retrospective chart review

urine microscopy

urine dipstick

red blood cells

urine analysis

white blood cells

urinary evaluation