The relationship between urinary frequency and vulvovaginitis in girls: a single-center retrospective study.
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BACKGROUND: Urinary frequency and vulvovaginitis are common diseases in girls, but there is insufficient emphasis on the relationship between them. This study aimed to investigate the effect of treatment for vulvovaginitis on urinary frequency in girls with urinary frequency and vulvovaginitis. METHODS: We conducted a retrospective analysis of clinical data of 102 girls with urinary frequency and vulvovaginitis who visited the Urologic Surgery Clinic of our hospital between January 1, 2022 and December 31, 2023. After one week of treatment for vulvovaginitis we evaluated the improvement of urinary frequency symptoms. If there was a significant improvement or cure of urinary frequency it was considered that symptoms were related. If there was no significant improvement in urinary frequency, it was considered that symptoms were unrelated. Patients were grouped by their response to treatment. Clinical data were compared between the two groups. RESULTS: Among the 452 girls with urinary frequency seen in the outpatient clinic, 102 (22.6%) had vulvovaginitis, and all showed daytime urinary frequency. Related group: 81 (79.4%) age 2-9 years, mean age (4.321±1.738), unrelated group: 21 (20.6%) age 2-9 years, mean age (4.905±1.947), there was no significant difference in age between the two groups. The children in the unrelated group had a statistically significant longer duration of urinary frequency (9.286±7.747 days) on first visit than girls in the related group (4.284±2.812 days) (P<0.05). The incidence of enuresis, constipation, and voiding with vulvar pain in the unrelated group (14.3%, 33.3%, and 38.1%) were higher than in the related group (0%, 9.9%, and 6.2%), with a statistically significant difference, all P<0.05. The incidence of urinary incontinence, vulvar secretions, and vulvar pruritus in the related group (0%, 12.3%, and 7.4%) didn't vary significantly from the unrelated group (4.8%, 19.0%, and 9.5%), all P＞0.05. Girls with longer urinary frequency duration (OR=1.25, P=0.004), constipation (OR=4.295, P=0.046) and voiding with vulvar pain (OR=9.772, P=0.002) were more likely to have no improvement in urinary frequency after treatment of vulvovaginitis. CONCLUSION: Vulvovaginitis is a common cause of urinary frequency. Girls with urinary frequency combined with vulvovaginitis should first be treated for vulvovaginitis. For children with a long course of illness or accompanying constipation, and voiding with vulvar pain, treatment for urinary frequency should be started simultaneously with vulvovaginitis treatment, as well as treatment for constipation.