Abstract
Objective: The aim of this study is establish the optimal non- invaszive
urine sample collection method for the microbiota studies. Methodology:
12 men with bladder carcinoma underwent first voided and midstream urine
collection. Urine samples were analyzed by using V3-V4 regions of
bacterial 16s ribosomal RNAs. Bacterial groups with relative abundance
above 1% were analyzed in first voided urine and midstream urine
samples at phylum, class, order, and family level. At the genus level,
all of the identified bacterial groups’ relative abundances were
analyzed. The statistical significance (p<0.05) of differences
between first voided and midstream urine sample microbiota were
evaluated using the Wilcoxon test. Results: According to analysis, 8
phyla, 14 class, 23 orders, 39 families, and 29 different genera were
identified in the first voided and the midstream urine samples.
Statistical differences were not identified between first voided and
mid-stream urine samples of all bacteria groups except the Clostridiales
at order level (p:0.04) and Clostridia at class level (p:0.04).
Conclusions: Either first voided or midstream urine samples can be used
in urinary microbiota studies as we determined that there is no
statistically significant difference between them regarding the results
of 16s ribosomal RNA analysis. What’s known? According to widespread
acceptance, first voided urine and midstream urine should be collected
separately for standard microbiologic evaluation. What’s new? We found
that there is no exact statistically significant difference between two
collection methods even on microbiota analysis. We believe that either
first voided or midstream uyrine samples can be used in urinary
microbiota studies.