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01-07-2012 | Original Article

Incidence and risk factors of postoperative urinary tract infection after uterosacral ligament suspension

Authors: Christopher P. Chung, Thomas J. Kuehl, Sheena K. Harris, Madeline M. McBride, Wilma I. Larsen, Paul M. Yandell, Bobby L. Shull

Published in: International Urogynecology Journal | Issue 7/2012

Abstract

Introduction and hypothesis

We assessed the incidence of and risk factors for developing urinary tract infection (UTI) after uterosacral ligament suspension (USLS).

Methods

Retrospective analysis of patients undergoing USLS in 2008–2009 was performed. Postoperative UTI was defined as a positive urine culture within 1 month following surgery. Factors analyzed were patient age, body mass index, parity, history of UTI before surgery, passing voiding trial, discharge with Foley catheter or intermittent self-catheterization, antibiotics at discharge, history of diabetes or renal disease, and surgeon.

Results

Surgical records from 169 patients were reviewed. Twenty-three patients (14%) developed UTI. There were no differences in preoperative factors between patients who developed UTI and those who did not. Subgroup analysis revealed those patients who went home with a Foley catheter and did not receive antibiotics had the highest proportion of UTI.

Conclusion

Patients requiring Foley catheter at discharge following vaginal prolapse repair are at highest risk for UTI and require prophylactic antibiotics.

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Chung C, Miskimins R, Kuehl T, Yandell P, Shull B (2012) Permanent suture used in uterosacral ligament suspension offers better anatomical support than delayed absorbable sutre. Int Urogynecol J Pelvic Floor Dysfunct 23(2):223–227

Sutkin G, Alperin M, Meyn L, Wiesenfeld HC, Ellison R, Zyczynski HM (2010) Symptomatic urinary tract infections after surgery for prolapse and/or incontinence. IntUrogynecol J Pelvic Floor Dysfunct 21(8):955–961CrossRef

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Shull BL, Bachofen C, Coates KW, Kuehl TJ (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J ObstetGynecol 183:1365–1373CrossRef

Title: Incidence and risk factors of postoperative urinary tract infection after uterosacral ligament suspension
Authors: Christopher P. Chung
Thomas J. Kuehl
Sheena K. Harris
Madeline M. McBride
Wilma I. Larsen
Paul M. Yandell
Bobby L. Shull
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 7/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1709-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Incidence and risk factors of postoperative urinary tract infection after uterosacral ligament suspension

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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