Prevalence and risk factors for urinary tract infection following stress urinary incontinence surgery with two midurethral sling procedures

Dorit Paz-Levy, Adi Y. Weintraub, Yonatan Reuven, Zehava Yohay, Inbal Idan, Debi Elharar, David Yohay

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: To compare prevalence and risk factors for urinary tract infection (UTI) following midurethral sling surgery with either the GYNECARE ABBREVO Continence System (Ethicon, Somerville, NJ, USA) or a standard transobturator. Methods: A retrospective cohort study was conducted among women who underwent midurethral sling surgery to treat stress urinary incontinence at a single tertiary hospital in Israel between January 1, 2014, and August 11, 2015. Data were retrieved from medical records. The diagnosis of UTI was based on a positive urine culture result. Results: Of 178 patients included, 30 (16.9%) underwent the ABBREVO procedure and 148 (83.1%) underwent the standard transobturator procedure. The mean ± SD BMI at the time of surgery was 28.1 ± 4.5 for the standard transobturator procedures and 30.7 ± 15.2 for the ABBREVO procedures. Women who underwent the ABBREVO procedure had an increased duration of hospitalization (P=0.004), and higher rates of concomitant anterior colporrhaphy procedures (P=0.009) and concomitant hysterectomy (P=0.009). Only 38 (21.3%) women developed UTIs within 12 months of surgery (seven in the ABBREVO procedure group and 31 in the standard transobturator procedure group). No statistically significant between-group differences were found for the risk of UTI or for urinary tract adverse events, such as recurrent UTI and the need for rehospitalization. Conclusions: The two procedures were comparable in terms of prevalence and risk factors for UTI during the postoperative period.

Original languageEnglish
Pages (from-to)333-338
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Volume143
Issue number3
DOIs
StatePublished - 1 Dec 2018
Externally publishedYes

Keywords

  • GYNECARE ABBREVO Continence System
  • Midurethral sling procedure
  • Stress urinary incontinence
  • Tension-free vaginal tape obturator
  • Transobturator midurethral sling
  • Urinary tract infection

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