Urinary Infection and Prostatectomy

Abstract

The incidence of urinary infection before and after operation for benign prostatic hypertrophy has been reviewed in 140 patients. Repeated screening for bacteriuria was used throughout the hospital admission. Infection was present in 24% before operation and there was a significant correlation between the incidence of infection and the duration of preoperative catheterisation. Postoperative infection developed in 31% and there was no relation between this incidence and the type of prostatectomy; specific antibacterial therapy was significantly more effective in eradicating urinary infection acquired after operation than before. At the time of discharge from the ward, 10% had infected urine, but only 3% of patients had persistent infection at follow-up 6 weeks after operation.

New Method of Postprostatectomy Bladder Irrigation

“…The safety of the system using a bac terial filter was confirmed by a 20% incidence of postop erative bacteriuria, which was marginally less than that found while using distilled water. Both figures were within the range found in other studies for posttransurethral prostatectomy bacteriuria [23].…”

Value of Clinical Decision on Antibiotic Treatment of Fever Episodes following Transurethral Resection of the Prostate

“…The incidence of both fever and bacteriuria demon strated in this study corresponds to previous findings [1,[6][7][8][9][10][11], Bacteriuria may give rise to urinary tract infection and fever, disappear spontaneously, or be quite asymptom atic [7,12], When systematic antibiotic prophylaxis is not used it may be important that patients observed without antibiotic treatment show a negative urine culture. This was the case in the present study in 90% of the patients with postoperative fever and in 95% without, indicating that the clinical evaluation had been a sufficient basis for deciding against antimicrobial therapy.…”

Organisms in the Prostate and Antibiotics in the Treatment of Postoperative Infections

“…However, irre spective of preoperative transurethral instrumentation(s), urinary tract infection (UTI) and septic symptoms are common complications postoperatively [1][2][3][4] and it is controversial in perioperative use of antibiotics in TUR-P to control infections along with the difficulty of docu…”