{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T21:44:44Z","timestamp":1778795084606,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To correlate lower urinary tract symptoms typically associated with a urinary tract infection (<jats:styled-content style=\"fixed-case\">UTI<\/jats:styled-content>) with physical examination findings of pelvic floor myofascial pain (<jats:styled-content style=\"fixed-case\">PFMP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective review included all new patients presenting to a urogynecology clinic between August 2 and December 19, 2016. Patients completed validated questionnaires, had a catheterized urine specimen, and underwent pelvic examination. Associations between demographics, symptoms, urine culture, and <jats:styled-content style=\"fixed-case\">PFMP<\/jats:styled-content> were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 250 patients with urinary frequency (n=160, 64.0%), urgency (n=155, 62.0%), urgency incontinence (n=140, 56.0%), pelvic pain (n=43, 17.2%), and dysuria (n=25, 10.0%). <jats:styled-content style=\"fixed-case\">PFMP<\/jats:styled-content> was detected in 125 (50.0%) patients and culture\u2010proven <jats:styled-content style=\"fixed-case\">UTI<\/jats:styled-content> in 15 (6.0%) patients. Demographics associated with <jats:styled-content style=\"fixed-case\">PFMP<\/jats:styled-content> were lower prolapse stage (<jats:italic>P<\/jats:italic>&lt;0.001), age younger than 50\u00a0years (<jats:italic>P<\/jats:italic>&lt;0.001), lower parity (<jats:italic>P<\/jats:italic>=0.028), and non\u2010white ethnicity (<jats:italic>P<\/jats:italic>=0.003). Symptoms associated with <jats:styled-content style=\"fixed-case\">PFMP<\/jats:styled-content> were dysuria (adjusted odds ratio 4.13, 95% confidence interval 1.08\u201315.78), urgency\/frequency (2.72, 1.47\u20135.04), and patient\u2010reported pelvic pain (2.57, 1.08\u20136.12). These symptoms were independent predictors in multivariable logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most patients had symptoms associated with <jats:styled-content style=\"fixed-case\">UTI<\/jats:styled-content>; however, culture\u2010confirmed diagnosis was infrequent and <jats:styled-content style=\"fixed-case\">PFMT<\/jats:styled-content> was diagnosed in half of participants. Clinicians treating women with these symptoms are advised to examine the pelvic floor muscles.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12784","type":"journal-article","created":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T16:44:16Z","timestamp":1550076256000},"page":"205-211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Pelvic floor myofascial pain in patients with symptoms of urinary tract infection"],"prefix":"10.1002","volume":"145","author":[{"given":"Birte J.","family":"Wolff","sequence":"first","affiliation":[{"name":"Department of Obstetrics\/Gynecology and Urology Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center  Maywood IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara J.","family":"Joyce","sequence":"additional","affiliation":[{"name":"Biostatistics Core Public Health Sciences Center for Translational Research and Education Loyola University Chicago  Maywood IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia A.","family":"Brincat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics\/Gynecology and Urology Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center  Maywood IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth R.","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics\/Gynecology and Urology Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center  Maywood IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen M.","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Department of Obstetrics\/Gynecology and Urology Loyola University Chicago Stritch School of Medicine and Loyola University Medical Center  Maywood IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.20.2701"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002239"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2014.04.003"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2015.01.024"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00845358"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02633479"},{"key":"e_1_2_7_8_1","first-page":"117","article-title":"Pelvic floor muscle examination in female chronic pelvic pain","volume":"56","author":"Fitzgerald CM","year":"2011","journal-title":"J Reprod Med"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2014.09.035"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20974"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/MOU.0000000000000174","article-title":"Pelvic floor spasm as a cause of voiding dysfunction","volume":"25","author":"Kuo TL","year":"2015","journal-title":"Curr Opin Urol"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2089-8"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(81)90410-6"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7219.1239"},{"key":"e_1_2_7_16_1","first-page":"504","article-title":"Prevalence of myofascial chronic pelvic pain and the effectiveness of pelvic floor physical therapy","volume":"58","author":"Bedaiwy MA","year":"2013","journal-title":"J Reprod Med"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/dc.23370"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2016-0520-OA"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.119427"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02876-13"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3528-8"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e318156db13"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2014.04.004"}],"container-title":["International Journal of Gynecology &amp; 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