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

• Published in: International Urogynecology Journal Vol. 23; no. 7; pp. 947 - 950
• Main Authors: Chung, Christopher P., Kuehl, Thomas J., Harris, Sheena K., McBride, Madeline M., Larsen, Wilma I., Yandell, Paul M., Shull, Bobby L.
• Format: Journal Article
• Language: English
• Published: London Springer-Verlag 01.07.2012; Springer Nature B.V
• Subjects: Antibiotic Prophylaxis; Female; Gynecology; Humans; Incidence; Ligaments - surgery; Medicine; Medicine & Public Health; Middle Aged; Original Article; Pelvic Organ Prolapse - surgery; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Complications - prevention & control; Retrospective Studies; Risk Factors; Urinary Catheterization - adverse effects; Urinary Tract Infections - epidemiology; Urinary Tract Infections - etiology; Urinary Tract Infections - prevention & control; Urology; Uterosacral ligament suspension; Postoperative interval; Urinary tract infection
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-012-1709-z

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.