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Urinary tract infection after cystometry.

K Sabanathan, H M Duffin, C M Castleden

    Age and Ageing
    |September 1, 1985
    PubMed
    Summary
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    Cystometry, a procedure for assessing incontinence, carries a significant risk of urinary tract infections (UTIs), even under optimal conditions. Elderly patients and males with high residual urine volumes appear more susceptible to these infections.

    Area of Science:

    • Urology
    • Infectious Disease

    Background:

    • Urinary tract infections (UTIs) are a common complication following urological procedures.
    • Cystometry is frequently used to evaluate urinary incontinence.

    Purpose of the Study:

    • To determine the incidence of post-cystometry UTIs.
    • To identify risk factors associated with developing UTIs after cystometry.

    Main Methods:

    • Retrospective analysis of 67 patients undergoing cystometry for incontinence assessment.
    • Infection surveillance 72 hours post-procedure.
    • Correlation analysis of clinical and urodynamic parameters with UTI development.

    Main Results:

    • A 21% incidence of post-cystometry UTIs was observed (18 of 67 patients).

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  • Pre-existing infections accounted for some cases, but the post-procedural rate remained high.
  • No significant correlation found with sex, mobility, cognitive function, blood sugar, renal function, previous surgeries, or bladder abnormality type.
  • Elderly patients and males with high residual urine volumes showed increased susceptibility.

    • Conclusions:

    • Cystometry poses a definite risk of UTI, necessitating careful consideration.
    • Proactive patient follow-up and infection monitoring are crucial after cystometry.
    • Risk stratification may be beneficial, particularly for elderly males with high residual volumes.