Abstract
Introduction and hypothesis
The purpose of our study was to estimate the frequency and risk factors for symptomatic urinary tract infection (UTI) after surgery for stress urinary incontinence (SUI) and/or pelvic organ prolapse (POP).
Methods
Case-control study of 389 consecutive women who underwent surgery for POP and/or SUI. Cases were defined as a symptomatic, culture-confirmed UTI within 6 weeks of surgery. Multivariable logistic regression was used to determine independent risk factors.
Results
Thirty five (9%) women developed a UTI. The risk of UTI was significantly increased by previous history of multiple UTIs (adjusted OR: 3.7, CI 1.4–10.1), increased distance between the urethra and the anus (adjusted OR: 1.4, CI 1.1–1.9), and prolonged duration of catheterization (adjusted odds ratio (OR) for ≥10 days: 4.2, 95% CI 1.5–11.6); 94.6% of catheterizing women were prescribed daily nitrofurantoin.
Conclusions
UTI is an important postoperative morbidity after urogynecologic surgery and is common in catheterizing women despite antibiotic prophylaxis.
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Sutkin, G., Alperin, M., Meyn, L. et al. Symptomatic urinary tract infections after surgery for prolapse and/or incontinence. Int Urogynecol J 21, 955–961 (2010). https://doi.org/10.1007/s00192-010-1137-x
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DOI: https://doi.org/10.1007/s00192-010-1137-x