title: Incidence and risk factors of postoperative urinary tract infection after uterosacral ligament suspension.
abstract: OBJECTIVE
  We assessed the incidence of and risk factors for developing urinary tract infection (UTI) after uterosacral ligament suspension (USLS).
  
  
  METHODS
  Retrospective analysis of patients undergoing USLS in 2008-2009 was performed. Postoperative UTI was defined as a positive urine culture within 1 month following surgery. Factors analyzed were patient age, body mass index, parity, history of UTI before surgery, passing voiding trial, discharge with Foley catheter or intermittent self-catheterization, antibiotics at discharge, history of diabetes or renal disease, and surgeon.
  
  
  RESULTS
  Surgical records from 169 patients were reviewed. Twenty-three patients (14%) developed UTI. There were no differences in preoperative factors between patients who developed UTI and those who did not. Subgroup analysis revealed those patients who went home with a Foley catheter and did not receive antibiotics had the highest proportion of UTI.
  
  
  CONCLUSIONS
  Patients requiring Foley catheter at discharge following vaginal prolapse repair are at highest risk for UTI and require prophylactic antibiotics.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Scott and White Healthcare/Texas A&M Health Science Center College of Medicine, 2401 South 31st Street, Temple, TX 76508, USA. cchung@swmail.sw.org
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Chung
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Kuehl
authors.forename: Sheena K
authors.initials: SK
authors.lastname: Harris
authors.forename: Madeline M
authors.initials: MM
authors.lastname: McBride
authors.forename: Wilma I
authors.initials: WI
authors.lastname: Larsen
authors.forename: Paul M
authors.initials: PM
authors.lastname: Yandell
authors.forename: Bobby L
authors.initials: BL
authors.lastname: Shull
mesh_terms: D019072:Antibiotic Prophylaxis; D005260:Female; D006801:Humans; D015994:Incidence; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors; D014546:Urinary Catheterization / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control