Risk factors for urinary tract infection following incontinence surgery.

Academic Article

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.
  • Published In

    Keywords

  • Adult, Female, Gynecologic Surgical Procedures, Humans, Logistic Models, Middle Aged, Postoperative Period, Preoperative Period, Retrospective Studies, Risk Factors, Suburethral Slings, Urinary Incontinence, Stress, Urinary Tract Infections
  • Digital Object Identifier (doi)

    Author List

  • Nygaard I; Brubaker L; Chai TC; Markland AD; Menefee SA; Sirls L; Sutkin G; Zimmern P; Arisco A; Huang L
  • Start Page

  • 1255
  • End Page

  • 1265
  • Volume

  • 22
  • Issue

  • 10