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A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance

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Urinary infection before and after prostatectomy.

Gholamreza Pourmand¹, Amir Reza Abedi, Ali Akbar Karami

¹Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Iran. gh_pourmand@yahoo.com

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia

|March 16, 2010

Summary

This summary is machine-generated.

Urinary tract infections (UTIs) after prostatectomy for benign prostatic hypertrophy (BPH) are linked to longer hospital stays and catheterization. Preoperative infection and elevated prostate-specific antigen (PSA) may increase UTI risk.

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Area of Science:

Urology
Infectious Diseases

Background:

Urinary tract infections (UTIs) are a potential complication following prostatectomy.
Understanding the prevalence and risk factors for pre- and post-operative UTIs is crucial for patient management.

Purpose of the Study:

To determine the incidence of UTIs before and after prostatectomy for benign prostatic hypertrophy (BPH).
To investigate the correlation between peri-operative events and the occurrence of UTIs.

Main Methods:

A prospective study of 120 patients undergoing prostatectomy for BPH.
Urine cultures were collected pre-operatively, and at one week and three months post-operatively.
Data analyzed included prostate volume, PSA, post-voiding residue (PVR), and duration of urinary leak, bladder irrigation, hospitalization, and catheterization.

Main Results:

Preoperative bacteriuria was present in 15% of patients, with 77% clearing post-operation.
Postoperative bacteriuria occurred in 7.5% of patients with initially negative cultures.
Patients with positive postoperative urine cultures experienced significantly longer urinary leakage, catheterization, and hospital stays.
Mean PSA was higher in patients with a history of infection.

Conclusions:

Appropriate antibiotic therapy can improve the rate of preoperative UTIs in BPH patients.
Risk factors for postoperative UTIs include preoperative infection, prolonged urinary leakage, catheterization, and hospitalization.
Elevated PSA may serve as a potential risk factor for UTIs.