Predictors of positive preoperative urine cultures in asymptomatic women undergoing urogynecologic surgery

Michael R Polin,Autumn L Edenfield,Alexis A Dieter,Anthony G Visc,Cindy L Amundsen,Alison C Weidner

doi:10.15761/cogrm.1000113

Abstract

Predictors of positive preoperative urine cultures in asymptomatic women undergoing urogynecologic surgery

Highlights

Pelvic floor disorders are estimated to affect one in four women in the United States [1,2] and a woman’s lifetime risk of having surgery for Pelvic Organ Prolapse (POP) or Urinary Incontinence (UI) is 20% [3]
After controlling for age, vaginal parity, menopausal status, vaginal estrogen usage, sexual activity, diagnosis of diabetes mellitus, history of recurrent Urinary tract infections (UTIs), and most distal prolapse quantification (POP-Q) measurement in a logistic regression analysis, a history of recurrent UTIs remained a risk factor for positive preoperative urine cultures
Similar to that seen with the negative culture only comparison, a history of recurrent UTIs was a risk factor for a positive preoperative urine culture and vaginal estrogen usage decreased this risk

Summary

Introduction

Pelvic floor disorders are estimated to affect one in four women in the United States [1,2] and a woman’s lifetime risk of having surgery for Pelvic Organ Prolapse (POP) or Urinary Incontinence (UI) is 20% [3]. Urinary tract infections (UTIs) are the second most common infection in older women, representing 25% of all clinically diagnosed infections in the US [4]. It is one of the most commonly reported complications of pelvic reconstructive surgery with an estimated incidence as high as 24% [5,6,7,8]. Ten percent of women undergoing surgery for POP or UI have positive preoperative catheterized urine cultures and a third of these women develop postoperative UTIs [9].

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Conclusion