MP39-14 IS A PREOPERATIVE POSTIVE URINE CULTURE A PREDICTOR OF PENILE PROSTHESIS INFECTION?

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy II (MP39)1 Apr 2020MP39-14 IS A PREOPERATIVE POSTIVE URINE CULTURE A PREDICTOR OF PENILE PROSTHESIS INFECTION? Kevin Parikh*, Steven Lomax, James Schnell, Jordan Bullock, and Gregory Broderick Kevin Parikh*Kevin Parikh* More articles by this author , Steven LomaxSteven Lomax More articles by this author , James SchnellJames Schnell More articles by this author , Jordan BullockJordan Bullock More articles by this author , and Gregory BroderickGregory Broderick More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000888.014AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: At our institution, all patients undergoing inflatable penile prosthesis (IPP) surgery have a pre-operative urine culture drawn prior to surgery. If these cultures are positive, these patients are treated with appropriate antibiotics prior to surgery in an attempt to decrease the risk of infection. A recent publication by Kavoussi et. al showed that 18% of patients undergoing penile prosthesis surgery had a positive pre-operative urine culture and that there was no correlation with the bacteriology of prosthetic infections. The purpose of our study is to determine how common a positive urine culture during preoperative evaluation for patients undergoing IPP surgery and if there is any association between preoperative culture rates and the risk of infection. METHODS: A retrospective review of IPP surgeries between 2013 and 2018 was performed. These IPP surgeries included both virgin and revision penile prosthesis surgeries. Patients with a preoperative urine culture within 30 days of surgery were included in the analysis. A positive urine culture was recorded if an identifiable bacteria was grown from the urine, regardless of quantity. Surgical outcomes of a postoperative infection was documented along with intraoperative culture data at time of revision. Statistical analysis was performed to determine preoperative positive urine culture rates and also if there was any correlation with a positive urine culture and postoperative infection. RESULTS: The cohort consisted of a total of 257 patients, both virgin and revision IPP. This patient cohort consisted of 30% diabetics (77/257). A positive urine culture was found in 4.6% (12/257) patients. The rate of postoperative infection in this medically complex patient cohort was 4.4% (11/257). Of those with a positive urine culture, only 1 of those patients (1/12, 8.3%) developed a postoperative infection. The preoperative urine culture organism was not the same organism that was cultured at the time of the explanation surgery. The association between a preoperative culture and postoperative infection was not statistically significant (P=0.49). CONCLUSIONS: In our retrospective study, positive preoperative urine culture did not show a statistically significant association with postoperative infection or any correlation with the actual bacteria cultured at time of explant surgery. Preoperative urine culture rates were much lower in this study when compared to rates previously reported in the literature. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e582-e582 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kevin Parikh* More articles by this author Steven Lomax More articles by this author James Schnell More articles by this author Jordan Bullock More articles by this author Gregory Broderick More articles by this author Expand All Advertisement PDF downloadLoading ...