BERKELEY, CA (UroToday.com) - Although postoperative complications of midurethral slings are well acknowledged, urinary tract infection is less commonly addressed than other complications and its prevalence is not well defined in literature.
In this study, 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. Patients with positive urine culture were evaluated for possible risk factors: presence of preoperative UTI, sling type, concomitant procedure, intraoperative complications, high PVR, de novo urge, and abnormal finding in vaginal examination In addition, the degree of agreement between group of ‘‘clinically suspected UTI’’ and ‘‘culture-proved diagnosis’’ patients was assessed.
Results showed no specific risk factor that can increase incidence of UTI among patients with SUI. Immediate preoperative chemoprophylaxis can eliminate the possibility of UTI after tissue handling and catheterization. In contrast to UTI before surgery, asymptomatic UTI is unlikely to happen after mid-urethral sling.
Ahmed S. El-Hefnawy, MD as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations etc... of their research by referencing the published abstract.