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International Urogynecology Journal

Erschienen in:

01.08.2010 | Original Article

Symptomatic urinary tract infections after surgery for prolapse and/or incontinence

verfasst von: Gary Sutkin, Marianna Alperin, Leslie Meyn, Harold C. Wiesenfeld, Rennique Ellison, Halina M. Zyczynski

Erschienen in: International Urogynecology Journal | Ausgabe 8/2010

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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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Titel: Symptomatic urinary tract infections after surgery for prolapse and/or incontinence
verfasst von: Gary Sutkin
Marianna Alperin
Leslie Meyn
Harold C. Wiesenfeld
Rennique Ellison
Halina M. Zyczynski
Publikationsdatum: 01.08.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 8/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1137-x

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Symptomatic urinary tract infections after surgery for prolapse and/or incontinence