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International Urogynecology Journal

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01-04-2022 | Stress Incontinence | Original Article

The impact of midurethral sling surgery on the development of urinary tract infections

Authors: Alexander A. Berger, Jasmine Tan-Kim, Shawn A. Menefee

Published in: International Urogynecology Journal | Issue 4/2022

Abstract

Purpose/Objective

To measure the impact of the placement of a midurethral sling (MUS) on development of urinary tract infections (UTI) in women with stress urinary incontinence.

Methods

This is an analysis of a large managed care organization MUS database from 2005 to 2016. The database was queried to identify UTI and diagnosis of recurrent UTI. The primary outcome was the UTI rate after MUS. Secondary outcomes included the recurrent UTI rate and rates of UTI over time.

Results

Over the study period, 13,404 MUS were performed. In the 12 postoperative months, 23% of patients developed a UTI, while 4% developed a de novo recurrent UTI diagnosis. UTIs were most frequently diagnosed in the 1st month, with the 7th postoperative day the most common. Predictors of UTI development included increased age (OR 3.69 [95% CI 2.58–5.26]), being diabetic (OR 1.43 [95% CI 1.28–1.60]), and having urinary retention requiring prolonged catheterization (OR 2.45 [95% CI 2.11–2.85]). UTIs were less likely to be diagnosed in those with transobturator MUS (OR 0.85 [95% CI 0.78–0.94]). Patients who developed a UTI were more likely to have a reoperation (p = 0.0147), including a reoperation for mesh revision/removal (p = 0.0287), and recurrent SUI (p = 0.0394). Patients who developed a UTI were more likely to develop postoperative de novo urgency urinary incontinence (UUI) (p < 0.0001).

Conclusion

Patients are at risk of UTI and rUTI after MUS. Risk of developing UTIs decreases with time. Predictors of developing UTI can help surgeons in the care of patients after MUS.

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Title: The impact of midurethral sling surgery on the development of urinary tract infections
Authors: Alexander A. Berger
Jasmine Tan-Kim
Shawn A. Menefee
Publication date: 01-04-2022
Publisher: Springer International Publishing
Keywords: Stress Incontinence
Urinary Tract Infection
Published in: International Urogynecology Journal / Issue 4/2022
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-021-04779-x

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Springer Medicine

The impact of midurethral sling surgery on the development of urinary tract infections

Abstract

Purpose/Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose/Objective

Methods

Results

Conclusion

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