Skip to main content

Urogenital Applications of Probiotic Bacteria

  • Reference work entry
Prebiotics and Probiotics Science and Technology

Abstract

The urogenital tract extends from the perineal skin close to the anus, to the vulva, vagina, cervix, uterus, urethra, bladder and kidneys. The uterus, bladder and kidneys are regarded as being sterile, although it will not be surprising if molecular techniques discover that this is not necessarily the case. The importance of the urogenital tract in the health of women cannot be understated. Given its proximity to potential pathogens emerging from the rectum, exposure to sexually transmitted organisms, hormonal fluctuations that affect cells, use of tampons, contraceptives and douches, and the birthing process, it is remarkable that this area is not constantly infected. Nevertheless, it has been estimated that almost every female will have a vaginal or bladder infection at some point in her life.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 649.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 649.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

BV :

Bacterial vaginosis

Cpn60 :

chaperonin 60 gene

DGGE :

denaturing gradient gel electrophoresis

HRT :

Hormone replacement therapy

H 2 O 2 :

hydrogen peroxide

IL :

Interleukin

INF-γ :

interferon gamma

PMNs :

polymorphonuclear neutrophils

Th-1 :

T cell type 1

Th-2 :

T cell type 2

UTI :

Urinary tract infections

VVC :

vulvovaginal candidiasis

References

  • Allsworth JE, Peipert JF (2007) Prevalence of bacterial vaginosis: 2001–2004 National health and nutrition examination survey data. Obstet Gynecol 109(1):114–120

    Article  Google Scholar 

  • Alonso R, Llopis I, Flores C, Murgui A, Timoneda J (2001) Different adhesins for type IV collagen on Candida albicans: identification of a lectin-like adhesin recognizing the 7S(IV) domain. Microbiology 147(Pt 7):1971–1981

    CAS  Google Scholar 

  • Alvarez-Olmos MI, Barousse MM, Rajan L, Van Der Pol BJ, Fortenberry D, Orr D, Fidel PL Jr (2004) Vaginal lactobacilli in adolescents: presence and relationship to local and systemic immunity, and to bacterial vaginosis. Am Sex Trans Dis Assoc 31:393–400

    Article  Google Scholar 

  • Antonio MA, Hawes SE, Hillier SL (1999) The identification of vaginal Lactobacillus species and the demographic and microbiologic characteristics of women colonized by these species. J Infect Dis 180(6):1950–1956

    Article  CAS  Google Scholar 

  • Anukam KC, Osazuwa EO, Ahonkhai I, Reid G (2006a) Lactobacillus vaginal microbiota of women attending a reproductive health care service in Benin city, Nigeria. Sex Transm Dis 33(1):59–62

    Article  Google Scholar 

  • Anukam KC, Reid G (2008) Growth promotion of probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus plantarum KCA in metronidazole. Microbial Ecol Health Dis 20:48–52

    Article  CAS  Google Scholar 

  • Anukam KC, Osazuwa EO, Ahonkhai I, Reid G (2005) 16S rRNA gene sequence and phylogenetic tree of Lactobacillus species from the vagina of healthy Nigerian women. Afr J Biotechnol 4(11):1222–1227

    CAS  Google Scholar 

  • Anukam KC, Osazuwa E, Osemene GI, Ehigiagbe F, Bruce AW, Reid G (2006b) Clinical study comparing probiotic Lactobacillus GR-1 and RC-14 with metronidazole vaginal gel to treat symptomatic bacterial vaginosis. Microbes Infect 8(12–13):2772–2776

    Article  CAS  Google Scholar 

  • Anukam K, Osazuwa E, Ahonkhai I, Ngwu M, Osemene G, Bruce AW, Reid G (2006c). Augmentation of antimicrobial metronidazole therapy of bacterial vaginosis with oral probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14: randomized, double-blind, placebo controlled trial. Microbes Infect 8(6):1450–1454

    Article  CAS  Google Scholar 

  • Bauer G (2001) Lactobacilli-mediated control of vaginal cancer through specific reactive oxygen species interaction. Med Hypotheses 57(2):252–257

    Article  CAS  Google Scholar 

  • Bruce AW, Chadwick P, Hassan A, VanCott GF (1973) Recurrent urethritis in women. Can Med Assoc J 108:973–976

    CAS  Google Scholar 

  • Burton JP, Reid G (2003) Evaluation of the bacterial vaginal flora of twenty postmenopausal women by direct (Nugent Score) and molecular (polymerase chain reaction and denaturing gradient gel electrophoresis) techniques. J Infect Dis 186:1777–1780

    Google Scholar 

  • Burton JP, Cadieu P, Reid G (2003) Improved understanding of the bacterial vaginal microbiota of women before and after probiotic instillation. Appl Environ Microbiol 69:97–101

    Article  CAS  Google Scholar 

  • Buton JP, Devillard E, Cadieux PA, Hammond JA, Reid G (2004) Detection of Atopobium vaginae in postmenopausal women by cultivation-independent methods warrants further investigation. J Clin Microbiol 42(4):1829–1831

    Article  Google Scholar 

  • Cadieux P, Burton J, Kang CY, Gardiner G, Braunstein I, Bruce AW, Reid G (2002) Lactobacillus strains and vaginal ecology. JAMA 287:1940–1941

    Article  Google Scholar 

  • Cauci S, Driussi S, Guaschino S, Isola M, Quadrifoglio F (2002a) Correlation of local interleukin-1beta levels with specific IgA response against Gardnerella vaginalis cytolysin in women with bacterial vaginosis. Am J Reprod Immunol 47(5):257–264

    Article  Google Scholar 

  • Cauci S, Guaschino S, Driussi S, De Santo D, Lanzafame P, Quadrifoglio F (2002b) Correlation of local interleukin-8 with immunoglobulin A against Gardnerella vaginalis hemolysin and with prolidase and sialidase levels in women with bacterial vaginosis. J Infect Dis 185(11):1614–1620

    Article  CAS  Google Scholar 

  • Cherpes TL, Meyn LA, Krohn MA, Hillier SL (2003) Risk factors for infection with herpes simplex virus type 2: role of smoking, douching, uncircumcised males, and vaginal flora. Sex Transm Dis 30(5):405–410

    Article  Google Scholar 

  • Colodner R, Edelstein H, Chazan B, Raz R (2003) Vaginal colonization by orally administered Lactobacillus rhamnosus GG. Isr Med Assoc J 5(11):767–769

    Google Scholar 

  • Czaja CA, Stapleton AE, Yarova-Yarovaya Y, Stamm WE (2007) Phase I trial of a Lactobacillus crispatus vaginal suppository for prevention of recurrent urinary tract infection in women. Infect Dis Obstet Gynecol 35387

    Google Scholar 

  • Dahn A, Saunders S, Hammond JA, Carter D, Kirjavainen P, Anukam K, Reid G (2008) Effect of bacterial vaginosis, Lactobacillus and Premarin estrogen replacement therapy on vaginal gene expression changes. Microbes Infect. 10(6):620–627

    Article  CAS  Google Scholar 

  • Dan M, Kaneti N, Levin D, Poch F, Samra Z (2003) Vaginitis in a gynecologic practice in Israel: causes and risk factors. Isr Med Assoc J 5(9):629–632

    Google Scholar 

  • Darouiche RO, Donovan WH, Del Terzo M, Thornby JI, Rudy DC, Hull RA (2001) Pilot trial of bacterial interference for preventing urinary tract infection. Urology 58(3):339–344

    Article  CAS  Google Scholar 

  • Davis CP, Cohen MS, Hackett RL, Anderson MD, Warren MM (1991) Urothelial hyperplasia and neoplasia. III. Detection of nitrosamine production with different bacterial genera in chronic urinary tract infections of rats. J Urol 145(4):875–880

    CAS  Google Scholar 

  • De Bernardis F, Boccanera M, Adriani D, Girolamo A, Cassone A (2002) Intravaginal and intranasal immunizations are equally effective in inducing vaginal antibodies and conferring protection against vaginal candidiasis. Infect Immun 70(5):2725–2729

    Article  CAS  Google Scholar 

  • Demirezen S (2002) The lactobacilli–candida relationship in cervico-vaginal smears. Cent Eur J Public Health 10(3):97–99

    CAS  Google Scholar 

  • Devillard E, Burton JP, Hammond JA, Lam D, Reid G (2004) Novel insight into the vaginal microflora in postmenopausal women under hormone replacement therapy as analyzed by PCR-denaturing gradient gel electrophoresis. Eur J Obstet Gynecol Reprod Biol 117(1):76–81

    Article  CAS  Google Scholar 

  • Dimitonova SP, Danova ST, Serkedjieva JP, Bakalov BV (2007) Antimicrobial activity and protective properties of vaginal lactobacilli from healthy Bulgarian women. Anaerobe 13(5–6):178–184

    Article  CAS  Google Scholar 

  • Donder GG, Vereecken A, Bosmans E, Dekeersmaecker A, Salembier G, Spitz B (2002) Definition of a type of abnormal vaginal flora that is distinct from bacterial vaginosis: aerobic vaginitis. BJOG 109(1):34–43

    Article  Google Scholar 

  • Ellis AK, Verma S (2002) Quality of life in women with urinary tract infections: is benign disease a misnomer? J Am Board Fam Pract 13(6):392–397

    Google Scholar 

  • El Messaoudi K, Thiry L, Van Tieghem N, Liesnard C, Englert Y, Moguilevsky N, Bollen A (1999) HIV-1 infectivity and host range modification by cathepsin D present in human vaginal secretions. AIDS 13(3):333–339

    Article  CAS  Google Scholar 

  • Eriksson K, Carlsson B, Forsum U, Larsson PG (2005) A double-blind treatment study of bacterial vaginosis with normal vaginal lactobacilli after an open treatment with vaginal clindamycin ovules. Acta Derm Venereol 85(1):42–46

    Article  Google Scholar 

  • Fan SR, Liao QP, Liu XP, Liu ZH, Zhang D (2008) Vaginal allergic response in women with vulvovaginal candidiasis. Int J Gynaecol Obstet. 101(1):27–30

    Article  CAS  Google Scholar 

  • FAO/WHO (2001) Evaluation of health and nutritional properties of powder milk and live lactic acid bacteria. Food and Agriculture Organization of the United Nations and World Health Organization Expert Consultation Report. http://www.fao.org/es/ESN/Probio/probio.htm

  • Ferrer J (2000) Vaginal candidosis: epidemiological and etiological factors. Int J Gynaecol Obstet 71(Suppl) 1:S21–S27

    Article  Google Scholar 

  • Fidel PL Jr, Sobel JD (1996) Immunopathogenesis of recurrent vulvovaginal candidiasis. Clin Microbiol Rev 9(3):335–348

    Google Scholar 

  • Fidel PL Jr, Barousse M, Lounev V, Espinosa T, Chesson RR, Dunlap K (2003) Local immune responsiveness following intravaginal challenge with Candida antigen in adult women at different stages of the menstrual cycle. Med Mycol 41(2):97–109

    Google Scholar 

  • Fink LN, Zeuthen LH, Christensen HR, Morandi B, Frøkiaer H, Ferlazzo G (2007) Distinct gut-derived lactic acid bacteria elicit divergent dendritic cell-mediated NK cell responses. Int Immunol 19(12):1319–1327

    Article  CAS  Google Scholar 

  • Foxman B, Barlow R, D’Arcy H, Gillespie B, Sobel JD (2000) Candida vaginitis: self-reported incidence and associated costs. Sex Trans Dis 27:230–225

    Article  CAS  Google Scholar 

  • Fredricks DN, Fiedler TL, Marrazzo JM (2005) Molecular identification of bacteria associated with bacterial vaginosis. N Engl J Med 353:1899–1911

    Article  CAS  Google Scholar 

  • Fredricsson B, Englund K, Weintraub L, Olund A, Nord CE (1989) Bacterial vaginosis is not a simple ecological disorder. Gynecol Obstet Invest 28:156–160

    Article  CAS  Google Scholar 

  • Gilliland SE, Speck ML, Morgan CG (1975) Detection of Lactobacillus acidophilus in feces of humans, pigs, and chickens. Appl Microbiol 30(4):541–545

    CAS  Google Scholar 

  • Goh SH, Facklam RR, Chang M, Hill JE, Tyrrell GJ, Burns EC, Chan D, He C, Rahim T, Shaw C, Hemmingsen SM (2000) Identification of Enterococcus species and phenotypically similar Lactococcus and Vagococcus species by reverse checkerboard hybridization to chaperonin 60 gene sequences. J Clin Microbiol 38(11):3953–3959

    CAS  Google Scholar 

  • Guarner F, Malagelada JR (2003) Gut flora in health and disease. Lancet 361(9356):512–519

    Article  Google Scholar 

  • Heinemann C, Reid G (2005) Vaginal microbial diversity among postmenopausal women with and without hormone replacement therapy. Can J Microbiol 51:777–781

    Article  CAS  Google Scholar 

  • Hill JE, Goh SH, Money DM, Doyle M, Li A, Crosby WL, Links M, Leung A, Chan D, Hemmingsen SM (2005) Characterization of vaginal microflora of healthy, nonpregnant women by chaperonin-60 sequence-based methods. Am J Obstet Gynecol 193(3 Pt 1):682–692

    Article  CAS  Google Scholar 

  • Hill JE, Seipp RP, Betts M, Hawkins L, Van Kessel AG, Crosby WL, Hemmingsen SM (2002) Extensive profiling of a complex microbial community by high-throughput sequencing. Appl Environ Microbiol 68(6):3055–3066

    Article  CAS  Google Scholar 

  • Hooton TM, Scholes D, Hughes JP, Winter C, Roberts PL, Stapleton AE, Stergachis A, Stamm WE (1996) A prospective study of risk factors for symptomatic urinary tract infection in young women. N Engl J Med 335(7):468–474

    Article  CAS  Google Scholar 

  • Hoppe B, Beck B, Gatter N, von Unruh G, Tischer A, Hesse A, Laube N, Kaul P, Sidhu H (2006) Oxalobacter formigenes: a potential tool for the treatment of primary hyperoxaluria type 1. Kidney Int 70(7):1305–1311

    Article  CAS  Google Scholar 

  • Justice SS, Hunstad DA, Cegelski L, Hultgren SJ (2008) Morphological plasticity as a bacterial survival strategy. Nat Rev Microbiol 6(2):162–168

    Article  CAS  Google Scholar 

  • Kaewsrichan J, Peeyananjarassri K, Kongprasertkit J (2006) Selection and identification of anaerobic lactobacilli producing inhibitory compounds against vaginal pathogens. FEMS Immunol Med Microbiol 48(1):75–83

    Article  CAS  Google Scholar 

  • Kaufman DW, Kelly JP, Curhan GC, Anderson TE, Dretler SP, Preminger GM, Cave DR (2008) Oxalobacter formigenes may reduce the risk of calcium oxalate kidney stones. J Am Soc Nephrol 19(6):1197–1203

    Article  CAS  Google Scholar 

  • Kim YH, Kim CH, Cho MK, Na JH, Song TB, Oh JS (2006b) Hydrogen peroxide-producing lactobacilli in the vaginal flora of pregnant women with preterm labor with intact membranes. Int J Gynaecol Obstet 93(1):22–27

    Article  Google Scholar 

  • Kirjavainen PK, Laine RM, Carter D, Hammond J-A, Reid G (2008) Expression of anti-microbial defense factors in vaginal mucosa following exposure to Lactobacillus rhamnosus GR-1. Int J Probiotics Klebanoff SJ, Hillier SL, Eschenbach DA, Waltersdorph AM (1991) Control of the microbial flora of the vagina by H2O2-generating lactobacilli. J Infect Dis 164:94–100

    Google Scholar 

  • Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW (2004) Vulvovaginal symptoms in women with bacterial vaginosis. Obstet Gynecol 104(2):267–272

    Article  Google Scholar 

  • Larsson PG, Stray-Pedersen B, Ryttig KR, Larsen S (2008) Human lactobacilli as supplementation of clindamycin to patients with bacterial vaginosis reduce the recurrence rate; a 6-month, double-blind, randomized, placebo-controlled study. BMC Womens Health 15(8):3

    Article  Google Scholar 

  • Marrie TJ, Swantee CA, Hartlen M (1980) Aerobic and anaerobic urethral flora of healthy females in various physiological age groups and of females with urinary tract infections. J Clin Microbiol 11(6):654–659

    CAS  Google Scholar 

  • Martinez RC, Franceschini SA, Patta MC, Quintana SM, Candido RC, Ferreira JC, Pereira De Martinis EC and Reid G (2009) Improved cure of bacterial vaginosis with single dose of tinidazole (2g) and Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14: a randomized, double-blind, placebo-controlled trial. Can J Microbial 55(2):133–138

    Article  CAS  Google Scholar 

  • Martinez RC, Franceschini SA, Patta MC, Quintana SM, Candido RC, Ferreira JC, Pereira De Martinis EC, Reid G (2009) Improved treatment of vulvovaginal candidiasis with fluconazole plus probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14. Letts Appl Microbiol 48(3):269–74

    Google Scholar 

  • Martinez RCR, Mifflin S, Summers KL, Nomizo A, De Martinez ECP, and Reid G. Modulation of in vitro Candida albicans infection by Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14. Microbiol. Immunol. In press

    Google Scholar 

  • Mastromarino P, Brigidi P, Macchia S, Maggi L, Pirovano F, Trinchieri V, Conte U, Matteuzzi D (2002) Characterization and selection of vaginal Lactobacillus strains for the preparation of vaginal tablets. J Appl Microbiol 93:884–893

    Google Scholar 

  • McLean NW, McGroarty JA (1996) Growth inhibition of metronidazole-susceptible and metrandiazole-resistant strains of Gardnerella vaginalis by lactobacilli in vitro. Appl Environ Microbiol 62:1089–1092

    CAS  Google Scholar 

  • Mijac VD, Dukić SV, Opavski NZ, Dukić MK, Ranin LT (2006) Hydrogen peroxide producing lactobacilli in women with vaginal infections. Eur J Obstet Gynecol Reprod Biol 129(1):69–76

    Article  CAS  Google Scholar 

  • Morelli L, Zoneenschain D, Del Piano M, Cognein P (2004) Utilization of the intestinal tract as a delivery system for urogenital probiotics. J Clin Gastroenterol. 38:S107–S110

    Article  CAS  Google Scholar 

  • Myziuk L, Romanowski B, Johnson SC (2003) BVBlue test for diagnosis of bacterial vaginosis, J. Clin Microbiol 41:1925–1928

    Article  Google Scholar 

  • Nagase S, Shumiya S, Emori T, Tanaka H (1983) High incidence of renal tumors induced by N-dimethylnitrosamine in analbuminemic rats. Gann 74(3):317–318

    CAS  Google Scholar 

  • Ness RB, Kip KE, Hillier SL, Soper DE, Stamm CA, Sweet RL, Rice P, Richter HE (2005) A cluster analysis of bacterial vaginosis-associated microflora and pelvic inflammatory disease. Am J Epidemiol 162(6):585–590

    Article  Google Scholar 

  • Nugent RP, Krohn MA, Hillier SL (1991) Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol 29(2):297–301

    CAS  Google Scholar 

  • Obata-Yasuoka M, Ba-Thein W, Tsukamoto T, Yoshikawa H, Hayashi H (2002) Vaginal Escherichia coli share common virulence factor profiles, serotypes and phylogeny with other extraintestinal E. coli. Microbiology 148(Pt 9):2745–2752

    CAS  Google Scholar 

  • Ohashi Y, Nakai S, Tsukamoto T, Masumori N, Akaza H, Miyanaga N, Kitamura T, Kawabe K, Kotake T, Kuroda M, Naito S, Koga H, Saito Y, Nomata K, Kitagawa M, Aso Y (2002) Habitual intake of lactic acid bacteria and risk reduction of bladder cancer. Urol Int 68(4):273–280

    Article  CAS  Google Scholar 

  • Otoo HN, Lee KG, Qiu W, Lipke PN (2008) Candida albicans Als adhesins have conserved amyloid-forming sequences. Eukaryot Cell 7(5):776–782

    Article  CAS  Google Scholar 

  • Raz R, Stamm WE (1993) A controlled trial of intravaginal estriol in postmenopausal women with recurrent urinary tract infections. N Engl J Med 329:753–756

    Article  CAS  Google Scholar 

  • Reid G (2001) Probiotic agents to protect the urogenital tract against infection. Am J Clin Nutr 73:437S–443S

    CAS  Google Scholar 

  • Reid G, Beuerman D, Heinemann C, Bruce AW (2001a) Probiotic Lactobacillus dose required to restore and maintain a normal vaginal flora. FEMS Immunol Med Microbiol 32:37–41

    Article  CAS  Google Scholar 

  • Reid G, Charbonneau-Smith R, Lam D, Lacerte M, Kang YS, Hayes KC (1992) Bacterial biofilm formation in the urinary bladder of spinal cord injured patients. Paraplegia 30:711–717

    CAS  Google Scholar 

  • Reid G, Millsap K, Bruce AW (1994) Implantation of Lactobacillus casei var rhamnosus into the vagina. Lancet 344:1229

    Article  CAS  Google Scholar 

  • Reid G, Potter P, Lam D, Warren D, Borrie M, Hayes K (2003d) Cranberry juice to reduce bladder biofilms and infection in geriatric and spinal cord injured patients with dysfunctional bladders. Nutraceut Food 8:24–28

    Article  Google Scholar 

  • Reid G, McGroarty JA, Tomeczek L, Bruce AW (1996) Identification and plasmid profiles of Lactobacillus species from the vagina of 100 healthy women. FEMS Immunol Med Microbiol 15(1):23–26

    Article  CAS  Google Scholar 

  • Reid G, Bruce AW, Fraser N, Heinemann C, Owen J, Henning B (2001b) Oral probiotics can resolve urogenital infections. FEMS Immunol Med Microbiol 30:49–52

    Article  CAS  Google Scholar 

  • Reid G, Charbonneau D, Erb J, Kochanowski B, Beuerman D, Poehner R, Bruce AW (2003a) Oral use of Lactobacillus rhamnosus GR-1 and L. fermentum RC-14 significantly alters vaginal flora: randomized, placebo-controlled trial in 64 healthy women. FEMS Immunol Med Microbiol 35:131–134

    Article  CAS  Google Scholar 

  • Reid G, Hammond J-A, Bruce AW (2003b) Effect of lactobacilli oral supplement on the vaginal microflora of antibiotic treated patients: randomized, placebo-controlled study. Nutraceut Food 8:145–148

    Article  Google Scholar 

  • Reid G, Jass J, Sebulsky T, McCormick J (2003c) Probiotics in clinical practice. Clin Microbiol Rev 16:658–672

    Article  Google Scholar 

  • Reid G, Burton J, Hammond J-A, Bruce AW (2004) Nucleic acid based diagnosis of bacterial vaginosis and improved management using probiotic lactobacilli. J Medicinal Food 7(2):223–228

    Article  Google Scholar 

  • Riemersma WA, van der Schee CJ, van der Meijden WL, Verbrugh HA, van Belkum A (2003) Microbial population diversity in the urethras of healthy males and males suffering from nonchlamydial, nongonococcal urethritis. J Clin Microbiol 41(5):1977–1986

    Article  CAS  Google Scholar 

  • Rosenstein IJ, Fontaine EA, Morgan DJ, Sheehan M, Lamont RF, Taylor-Robinson D (1997) Relationship between hydrogen peroxide-producing strains of lactobacilli and vaginosis-associated bacterial species in pregnant women. Eur J Clin Microbiol Infect Dis 16:517–522

    Article  CAS  Google Scholar 

  • Schultz M (2008) Clinical use of E. coli Nissle 1917 in inflammatory bowel disease. Inflamm Bowel Dis 14(7):1012–1018

    Article  Google Scholar 

  • Schwebke JR, Hillier SL, Sobel JD, McGregor JA, Sweet RL (1996) Validity of the vaginal gram stain for the diagnosis of bacterial vaginosis. Obstet Gynecol 88(4 Pt 1):573–576

    Article  CAS  Google Scholar 

  • Seow SW, Rahmat JN, Mohamed AA, Mahendran R, Lee YK, Bay BH (2002) Lactobacillus species is more cytotoxic to human bladder cancer cells than Mycobacterium Bovis (bacillus Calmette-Guerin). J Urol 168(5):2236–2239

    Article  CAS  Google Scholar 

  • Sewankambo N, Gray RH, Wawer MJ, Paxton L, McNaim D, Wabwire-Mangen F, Serwadda D, Li C, Kiwanuka N, Hillier SL, Rabe L, Gaydos CA, Quinn TC, Konde-Lule J (1997) HIV-1 infection associated with abnormal vaginal flora morphology and bacterial vaginosis. Lancet 350(9077):546–550

    Article  CAS  Google Scholar 

  • Steele C, Fidel PL Jr (2002) Cytokine and chemokine production by human oral and vaginal epithelial cells in response to Candida albicans. Infect Immun 70(2):577–583

    Article  CAS  Google Scholar 

  • Svanborg C, Agace W, Hedges S, Lindstedt R, Svensson ML (1994) Bacterial adherence and mucosal cytokine production. Ann NY Acad Sci 730:162–181

    Article  CAS  Google Scholar 

  • Tomas MS, Bru E, Nader-Macias ME (2003) Comparison of the growth and hydrogen peroxide production by vaginal probiotic lactobacilli under different culture conditions. Am J Obstet Gynecol 188(1):35–44

    Article  CAS  Google Scholar 

  • Uehara S, Monden K, Nomoto K, Seno Y, Kariyama R, Kumon H (2006) A pilot study evaluating the safety and effectiveness of Lactobacillus vaginal suppositories in patients with recurrent urinary tract infection. Int J Antimicrob Agents 28(Suppl 1): S30–S34

    Article  CAS  Google Scholar 

  • Uehling DT, Johnson DB, Hopkins WJ (1999) The urinary tract response to entry of pathogens. World J Urol 17(6):351–358

    Article  CAS  Google Scholar 

  • Vásquez A, Jakobsson T, Ahrné S, Forsum U, Molin G (2002) Vaginal Lactobacillus flora of healthy Swedish women. J Clin Microbiol 40(8):2746–2749

    Article  Google Scholar 

  • Velraeds MC, van der Mei HC, Reid G, Busscher HJ (1996) Inhibition of initial adhesion of uropathogenic Enterococcus faecalis by biosurfactants from Lactobacillus isolates. Appl Environ Microbiol 62:1958–1963

    CAS  Google Scholar 

  • Velraeds MC, van der Belt B, van der Mei HC, Reid G, Busscher HJ (1998) Interference in initial adhesion of uropathogenic bacteria and yeasts silicone rubber by a Lactobacillus acidophilus biosurfactant. J Med Microbiol 49:790–794

    Google Scholar 

  • West B, Morison L, van der Loeff MS, Gooding E, Awasana AA, Demba E, Mayaud P (2003) Evaluation of a new rapid diagnostic kit (FemExam) for bacterial vaginosis in patients with vaginal discharge syndrome in The Gambia. Sex Transm Dis 30(6):483–489

    Article  Google Scholar 

  • Witkin SS, Linhares IM, Giraldo P, Ledger WJ (2007) An altered immunity hypothesis for the development of symptomatic bacterial vaginosis. Clin Infect Dis 44(4):554–557

    Article  CAS  Google Scholar 

  • Xu J, Schwartz K, Bartoces M, Monsur J, Severson RK, Sobel JD (2008) Effect of antibiotics on vulvovaginal candidiasis: a MetroNet study. J Am Board Fam Med 21(4):261–268

    Article  Google Scholar 

  • Zhong W, Millsap K, Bialkowska-Hobrzanska H, Reid G (1998) Differentiation of Lactobacillus species by molecular typing. Appl Environ Microbiol 64:2418–2423

    CAS  Google Scholar 

Download references

Acknowledgments

Our work is supported by grants from NSERC and AFMnet

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Science+Business Media, LLC

About this entry

Cite this entry

Reid, G. (2009). Urogenital Applications of Probiotic Bacteria. In: Charalampopoulos, D., Rastall, R.A. (eds) Prebiotics and Probiotics Science and Technology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79058-9_27

Download citation

Publish with us

Policies and ethics