Alle genannten Erreger können sowohl als einfache Kommensalen als auch als potenziell pathogene Keime vorkommen. Ihre Beteiligung an der Entstehung der hyperaktiven Blase sowie der interstitiellen Zystitis/beim Bladder Pain Syndrome wird kontrovers diskutiert. Ihr Vorkommen wurde bei urogynäkologischen Krankheiten bereits bei der Urethritis, Zystitis und bei oberen Harnwegsinfekten erwiesen. Symptomatic women should be treated strictly according to results of the antibiogram.ĭie im Urogenitaltrakt relevanten Mykoplasmen sind Mycoplasma hominis, Mycoplasma genitalium und Ureaplasma urealyticum. In summary: a urethral swab for PCR analysis of the three bacteria should be performed in the context of symptomatic sterile leukocyturia, chronic urethritis and suspected hyperactive bladder or interstitial cystitis/painful bladder syndrome. The aim of this systematic review was to summarise current knowledge on the influence of mycoplasma and ureaplasma in urogynaecological pathology and to provide clinical guidance on diagnosis (when and how is pathogen detection indicated?) and treatment. In most cases their role in any particular pathology cannot be proven, only presumed. All the above-mentioned microorganisms can occur as commensals or as potential pathogens. Their role in hyperactive bladder and interstitial cystitis/painful bladder syndrome is controversial. Their occurrence in the context of urogynaecological disease has been demonstrated in urethritis, cystitis and upper renal tract infections. Mycoplasma species relevant to the urogenital tract include mycoplasma hominis, mycoplasma genitalia and ureaplasma urealyticum.
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