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Urinary tract infection before and after mid-urethral slings: culture-proven diagnosis and analysis of risk factors

  • Urology – Original Paper
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Abstract

Objectives

To study prevalence of UTI in women with SUI before and after mid-urethral slings based on culture-proven diagnosis.

Materials and methods

Clean catch midstream urine samples were collected and sent for agar culture in 150 patients before and on follow-up after mid-urethral slings visit. Degree of agreement between culture-proved UTI and clinically suspected was assessed. In addition, risk factors for UTI were analyzed.

Results

Preoperative culture was positive in 9 (6%) patients, 7 of them were asymptomatic. UTI was primarily diagnosed in 39 (26%) patients suggested by symptoms. No bacterial growth was detected at first postoperative day. There were 6 out of 62 (9.7%) patients who had positive urine cultures at follow-up visits, all of them were symptomatic. Eleven (18%) patients were diagnosed as UTI, based on clinical suspicion.

Conclusion

In contrast to UTI before surgery, asymptomatic UTI is unlikely to happen after mid-urethral sling.

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Abbreviations

DO:

Detrusor overactivity

MUI:

Mixed urinary incontinence

POP:

Pelvic organ prolapse

PVR:

Postvoid residual urine

SUI:

Stress urinary incontinence

TVT:

Tension-free vaginal tape

TOT:

Transobturator vaginal tape

UI:

Urinary incontinence

UUI:

Urge urinary incontinence

UTI:

Urinary tract infection

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Conflict of interest statement

No conflict of interest.

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Authors and Affiliations

  1. Urology and Nephrology Center, Urology Department, Mansoura University, Mansoura, Egypt

    Ahmed S. El-Hefnawy, Adel Nabeeh & Bassem S. Wadie

  2. Urology and Nephrology Center, Microbiology Department, Mansoura University, Mansoura, Egypt

    Essam El Sawy

  3. Voiding Dysfunction and Urogynecology, Urology and Nephrology Center, Mansoura, Egypt

    Ahmed S. El-Hefnawy

Authors
  1. Ahmed S. El-Hefnawy
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  2. Adel Nabeeh
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  3. Essam El Sawy
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  4. Bassem S. Wadie
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Corresponding author

Correspondence to Ahmed S. El-Hefnawy.

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El-Hefnawy, A.S., Nabeeh, A., El Sawy, E. et al. Urinary tract infection before and after mid-urethral slings: culture-proven diagnosis and analysis of risk factors. Int Urol Nephrol 43, 345–351 (2011). https://doi.org/10.1007/s11255-010-9807-7

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  • DOI: https://doi.org/10.1007/s11255-010-9807-7

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