Prevalence and risk factors for urinary tract infection up to one year following midurethral sling incontinence surgery

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

“…5,6 By contrast, an Israeli study observed a UTI rate of 21% in the first year of the postoperative period. 2 Postoperative recurrent UTI has been reported in another study among 6.4% of patients. 7 Use of a transobturator midurethral sling is often the preferred approach owing to a reduced risk of bladder perforation and voiding dysfunction when compared with the retropubic approach.…”

“…Rates of UTI after midurethral sling placement are reported to be as high as 34% within the first 3 months of surgery, and up to 50% after 1 year . By contrast, an Israeli study observed a UTI rate of 21% in the first year of the postoperative period . Postoperative recurrent UTI has been reported in another study among 6.4% of patients …”

“…Transvaginal midurethral slings have become the surgical treatments of choice for stress urinary incontinence (SUI) in many centers and have largely replaced retropubic procedures and abdominal colposuspension . Intervention with a midurethral sling requires introducing a polypropylene tape (mesh) beneath the middle portion of the urethra, where it functions as a hammock to resist urethral mobility during increases in intra‐abdominal pressure while remaining loose at rest …”

“…Use of a transobturator midurethral sling is often the preferred approach owing to a reduced risk of bladder perforation and voiding dysfunction when compared with the retropubic approach . Nevertheless, this procedure can be complicated by groin pain, resulting from an injury to the adductor compartment during surgery, among up to 16% of patients at 2 months and 3% at 12 months postoperatively .…”

“…1 Intervention with a midurethral sling requires introducing a polypropylene tape (mesh) beneath the middle portion of the urethra, where it functions as a hammock to resist urethral mobility during increases in intra-abdominal pressure while remaining loose at rest. 2 Unfortunately, postoperative changes in urethral anatomy can result in voiding adverse events such as detrusor hyperactivity leading to new-onset urgency or urgency incontinence and voiding dysfunctions. 3 This situation, in turn, might cause urinary stasis and an increased risk of sporadic, recurrent, or complicated urinary tract infections (UTIs).…”