The Incidence of Acquired Urinary Tract Infections in Patients After Transurethral Resection of Bladder Tumors

Abstract

Introduction: Transurethral resection (TUR) of bladder tumors is surgical treatment for visible tumors of the urinary bladder and is performed to remove the tumor and take samples for histopathological examination in order to determine the stage and tumor grade. Transurethral resection of prostate tumors (TURBT) is a surgical procedure that is performed daily at the Clinic for Urology, Clinical Center University of Sarajevo (CCUS). As for all other endoscopic urology procedure, typically urine must be sterile preoperatively. Patients with preoperative asymptomatic bacteriuria have a high risk of bacteremia and sepsis. In urological guidelines, antibiotic prophylaxis in TURBT is only given in cases of high risk patients, and necrotic tumors. Methodology: The study was conducted as a retrospective study which included patients underwent surgical treatment–TURBT and who underwent preoperative urine tests and postoperatively the clinical manifestation of UTI, urine cultures were isolated, and in case of the clinical indications also the blood culture. Included are only patients with preoperative sterile urine findings. The source of data was history of the disease. Results: From the 512 patients which underwent TURBT in 159 cases (31.0%) patients did not receive antibiotic prophylaxis and 353 (68.9%) patients received antibiotic prophylaxis. The first group of patients which did not receive antibiotic prophylaxis in 22 cases (14%) patients developed symptomatic urinary tract infection confirmed by urine culture and in 5 (3.1%) patient with blood culture was proven bacteraemia. In the second group of patients who received prophylactic antibiotic therapy in 78 cases (22%) patients developed a urinary infection and in 2 cases (0.57%) patients bacteremia was detected in blood culture. Conclusion: With regard to the set goals we have prove the incidence of urinary infection after performing TUR of bladder tumors in our Clinic.