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Related Experiment Videos

Urinary infection and prostatectomy.

F R Jackaman, G D Chisholm

    British Journal of Urology
    |October 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Urinary infection affects 24% of patients before benign prostatic hypertrophy surgery, increasing with catheter duration. Postoperative infections occur in 31%, with antibiotics more effective for new infections.

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    Area of Science:

    • Urology
    • Infectious Diseases
    • Surgical Outcomes

    Background:

    • Benign prostatic hypertrophy (BPH) is a common condition in aging men.
    • Urinary tract infections (UTIs) are a potential complication of BPH and its surgical management.
    • Understanding UTI incidence pre- and post-BPH surgery is crucial for patient care.

    Purpose of the Study:

    • To determine the incidence of urinary infection before and after surgery for benign prostatic hypertrophy.
    • To identify risk factors for pre- and post-operative UTIs.
    • To evaluate the effectiveness of antibacterial therapy for UTIs in this patient cohort.

    Main Methods:

    • Review of 140 patients undergoing surgery for BPH.
    • Repeated screening for bacteriuria throughout hospital admission.

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  • Analysis of infection rates correlated with preoperative catheterization duration and prostatectomy type.
  • Assessment of antibacterial therapy efficacy.

    • Main Results:

    • Preoperative infection incidence was 24%, significantly correlated with preoperative catheterization duration.
    • Postoperative infection developed in 31% of patients, unrelated to prostatectomy type.
    • Specific antibacterial therapy was more effective for postoperative than preoperative infections.
    • At discharge, 10% had infected urine; 3% had persistent infection at 6-week follow-up.

    Conclusions:

    • Urinary infection is common in BPH patients, with preoperative catheterization being a key risk factor.
    • Postoperative infections are frequent but not linked to prostatectomy type.
    • Prompt antibacterial treatment is effective, especially for post-surgical UTIs, leading to low persistent infection rates.