Authors: Alan P Gehrich Michael B Lustik Allen A Mehr Jason R Patzwald
Publish Date: 2015/10/14
Volume: 27, Issue: 3, Pages: 483-490
Abstract
Urinary tract infections UTIs are the most common complication following hysterectomy and midurethral sling procedures MUS As a MUS is often placed at the time of hysterectomy we sought to determine if the addition of an MUS procedure significantly increases the risk of UTI in the first 30 days following hysterectomyThis retrospective cohort study utilizes the National Surgical Quality Improvement Program NSQIP data bank for the years 2006–2012 The database collects data on all enrolled patients preoperatively and in the first 30 days postoperatively The database was searched using procedural codes for various types of hysterectomies and MUS procedures We assessed the incidence of postoperative UTIs following hysterectomy HYST only MUS only and hysterectomy combined with MUS HYST + MUS Adjusted logistic regression analyses were performed to evaluate the effects of individual risk factors and models of interactionThe NSQIP cohort included 3757 in the HYST + MUS group 9851 in the MUSonly group and 57398 in the HYSTonly group The rates of postoperative UTI which was the most common postoperative morbidity were 53 34 and 25 respectively Multivariate logistic regression analysis showed a persistent significant increase in rates of UTI p 0001 between the MUS + HYST group and the HYSTonly group This significance was not maintained between the MUSonly group and the MUS + HYST group
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