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01-10-2011 | Original Article

Risk factors for urinary tract infection following incontinence surgery

Authors: Ingrid Nygaard, Linda Brubaker, Toby C. Chai, Alayne D. Markland, Shawn A. Menefee, Larry Sirls, Gary Sutkin, Phillipe Zimmern, Amy Arisco, Liyuan Huang, Sharon Tennstedt, Anne Stoddard

Published in: International Urogynecology Journal | Issue 10/2011

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.

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Title: Risk factors for urinary tract infection following incontinence surgery
Authors: Ingrid Nygaard
Linda Brubaker
Toby C. Chai
Alayne D. Markland
Shawn A. Menefee
Larry Sirls
Gary Sutkin
Phillipe Zimmern
Amy Arisco
Liyuan Huang
Sharon Tennstedt
Anne Stoddard
Publication date: 01-10-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 10/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1429-9

At a glance: The STEP trials

Springer Medicine

Risk factors for urinary tract infection following incontinence surgery

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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