title: Urinary tract infections in women with stress urinary incontinence treated with transobturator suburethral tape and benefit gained from the sublingual polibacterial vaccine.
abstract: OBJECTIVE
  Stress urinary incontinence (SUI) and recurrent urinary tract infections (RUTIs) are highly prevalent diseases. Our purpose was to investigate the relationship between RUTIs and surgical correction of SUI with transobturator suburethral tape (TOT) and to describe the benefit gained from a sublingual polibacterial preparation on RUTIs developed after TOT.
  
  
  METHODS
  A retrospective study was performed on 420 women who underwent TOT surgery due to SUI between April 2003 and October 2011. Group A: patients without urinary tract infections (UTIs) before TOT (n = 294). Group B: patients with UTIs before TOT (n = 126).
  
  
  METHODS
  age, personal history, number of UTIs/month prior to and after surgery, appearance of urgent urinary incontinence (UUI) with or without UTIs, response to International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) and Short Form 36 (SF-36) questionnaires.
  
  
  RESULTS
  Group A: 85% dry; 5% UUI; 4% de novo UTIs with good response to antibiotics over 6 days. No RUTIs during the follow-up period, 2% with sporadic UTIs. Group B: 47.61% RUTIs; 52.39% sporadic UTIs; greater incidence of diabetes mellitus (p < 0.0025) and smoking (p < 0.0031) than group A. After TOT: 79.36% dry; 10% RUTIs. After treatment with antibiotics for 6 days and bacterial preparation for 3 months, 82% of patients did not have a UTI anymore. Postoperative cystourethrogram revealed 38% of nondiagnosed cystoceles before TOT. No patient had a postvoiding volume greater than 100 cm(3) after TOT. Improvement of ICIQ-SF (p < 0.001) and SF-36 (p < 0.0004) in both groups.
  
  
  CONCLUSIONS
  After eliminating bias associated with the tape, the technique and the surgeon's skills, SUI correction may decrease the number of UTIs and improve the quality of life. UTIs disappeared in 82% of patients with RUTIs after TOT.
authors.affiliation: Department of Urology, University Hospital of Salamanca's Complex, Spain; Department of Surgery, University of Salamanca, Spain; Salamanca Institute for Biomedical Research (IBSAL), Spain.
authors.forename: María F
authors.initials: MF
authors.lastname: Lorenzo Gómez
authors.affiliation: Department of Gynaecology, San Rafael Hospital, Madrid, Spain.
authors.forename: Rafael E
authors.initials: RE
authors.lastname: Collazos Robles
authors.affiliation: Department of Urology, University Hospital of Salamanca's Complex, Spain; Salamanca Institute for Biomedical Research (IBSAL), Spain.
authors.forename: Álvaro J
authors.initials: ÁJ
authors.lastname: Virseda Rodríguez
authors.affiliation: Department of Surgery, University of Salamanca, Spain; Salamanca Institute for Biomedical Research (IBSAL), Spain.
authors.forename: María B
authors.initials: MB
authors.lastname: García Cenador
authors.affiliation: Department of Preventive Medicine and public Health, University of Salamanca, Spain; Salamanca Institute for Biomedical Research (IBSAL), Spain.
authors.forename: José A
authors.initials: JA
authors.lastname: Mirón Canelo
authors.affiliation: Department of Urology, University Hospital of the Canary Islands' Complex, Ctra. Ofra, s/n. 38320 San Cristóbal de La Laguna (Santa Cruz de Tenerife), Spain.
authors.forename: Bárbara
authors.initials: B
authors.lastname: Padilla Fernández
keywords: stress urinary incontinence; transobturator suburethral tape; urinary tract infections