International Urogynecology Journal

, Volume 22, Issue 10, pp 1255–1265

Risk factors for urinary tract infection following incontinence surgery

Authors

    • Department of OB/GYNUniversity Utah
    • University of Utah School of Medicine
  • Linda Brubaker
    • Departments of OB/GYN and UrologyLoyola
  • Toby C. Chai
    • Division of UrologyUniversity of Maryland Baltimore
  • Alayne D. Markland
    • Department of Medicine, Division of Geriatrics, Gerontology, and Palliative CareUniversity of Alabama at Birmingham
  • Shawn A. Menefee
    • Department of OB/GYNKaiser Permenente San Diego
  • Larry Sirls
    • Department of UrologyWilliam Beaumont Hospital
  • Gary Sutkin
    • Department of OB/GYNMagee Women’s Hospital
  • Phillipe Zimmern
    • Department of UrologyUniversity Texas Southwestern
  • Amy Arisco
    • Department of UrologyUniversity of Texas San Antonio
  • Liyuan Huang
    • New England Research Institutes
  • Sharon Tennstedt
    • New England Research Institutes
  • Anne Stoddard
    • New England Research Institutes
Original Article

DOI: 10.1007/s00192-011-1429-9

Cite this article as:
Nygaard, I., Brubaker, L., Chai, T.C. et al. Int Urogynecol J (2011) 22: 1255. doi:10.1007/s00192-011-1429-9

Abstract

Introduction and hypothesis

The purpose of this study is to describe risk factors for post-operative urinary tract infection (UTI) the first year after stress urinary incontinence surgery.

Methods

Multivariable logistic regression analyses were performed on data from 1,252 women randomized in two surgical trials, Stress Incontinence Surgical Treatment Efficacy trial (SISTEr) and Trial Of Mid-Urethral Slings (TOMUS).

Results

Baseline recurrent UTI (rUTI; ≥3 in 12 months) increased the risk of UTI in the first 6 weeks in both study populations, as did sling procedure and self-catheterization in SISTEr, and bladder perforation in TOMUS. Baseline rUTI, UTI in the first 6 weeks, and PVR > 100 cc at 12 months were independent risk factors for UTI between 6 weeks and 12 months in the SISTEr population. Few (2.3–2.4%) had post-operative rUTI, precluding multivariable analysis. In women with pre-operative rUTI, successful surgery (negative cough stress test) at 1 year did not appear to decrease the risk of persistent rUTI.

Conclusions

Pre-operative rUTI is the strongest risk factor for post-operative UTI.

Keywords

Urinary tract infectionStress urinary incontinence surgeryRecurrent urinary tract infectionRisk factors

Copyright information

© The International Urogynecological Association 2011