title: Pelvic Organ Prolapse-Associated Cystitis.
abstract: Pelvic organ prolapse (POP) and urinary tract infection (UTI) are important problems, estimated to affect around 14 and 40 % of women, respectively, at some point in their lives. Positive urine culture in the presence of symptoms is the cornerstone of diagnosis of UTI and should be performed along with ultrasound assessment of postvoid residual (PVR) in all women presenting with POP and UTI. PVR over 30 mL is an independent risk factor for UTI, although no specific association with POP and UTI has been demonstrated. The use of prophylactic antibiotics remains controversial. The major risk factors for postoperative UTI are postoperative catheterisation, prolonged catheterisation, previous recurrent UTI and an increased urethro-anal distance-suggesting that global pelvic floor dysfunction may play a role.
authors.affiliation: Department of Neurourology, Royal National Orthopaedic Hospital, Stanmore, UK ; Department of Urology, University College Hospital, 235 Euston Road, London, NW1 2BU UK.
authors.forename: Rizwan
authors.initials: R
authors.lastname: Hamid
authors.affiliation: Department of Neurourology, Royal National Orthopaedic Hospital, Stanmore, UK ; Department of Urology, University College Hospital, 235 Euston Road, London, NW1 2BU UK.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Losco
keywords: Anti-bacterial agents; Antibiotic prophylaxis; Bacteriuria; Cystitis; Cystocele; Pelvic organ prolapse; Prolapse; Pyuria; Rectocele; Surgical mesh; Urinary bladder; Urinary incontinence; Urinary incontinence, stress; Urinary incontinence, urge; Urinary tract; Urinary tract infections; Vagina