Erschienen in:
30.11.2023
Our Knowledge of the Relationship of the Urinary Microbiome and Overactive Bladder: Past, Present, Future
verfasst von:
Gillian E. Jacobsen, Katherine Amin
Erschienen in:
Current Bladder Dysfunction Reports
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Ausgabe 4/2023
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Abstract
Purpose of Review
This review covers the latest research on the urinary microbiome and its relationship to overactive bladder. We sought to understand what urinary microbiome characteristics may be associated with overactive bladder and what research has been done to come to these conclusions.
Recent Findings
The latest research has gone beyond simply characterizing the microbial environment of urine and has transcended deeper into relationships between microbes and lower urinary tract disorders, specifically overactive bladder. Advances in next-generation sequencing technologies have largely made this possible. Multiple studies have found alterations in the urinary microbiome in patients with overactive bladder and/or urgency urinary incontinence.
Summary
Early research indicates a lack of Lactobacillus species as well as an increase in Gardnerella and Staphylococcus species may be linked to overactive bladder. Certain uropathogens such as Escherichia coli and Gardnerella vaginalis may produce neuroexcitatory molecules that induce bladder contraction. However, more research is needed to confirm these findings and find targetable mechanistic links between these microbes and disease.