Unheralded Urinary Tract Infection in the Male A Clinical and Urodynamic Assessment

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Abstract
Fifty adult males presenting with unheralded single or recurrent urinary tract infections, but without prior urinary symptoms or disorders, were investigated by appropriate urodynamic techniques. Pressure/flow videocystography revealed significant underlying lower urinary tract abnormalities in 40 cases (80%) compared with only 11 (22%) whose abnormalities were also demonstrated by standard i.v. urography or endoscopy. Videocystography is evidently the most efficient diagnostic procedure for these cases in a specialist unit. I.v. urodynamogram as a simpler screening test for general use is suggested.