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Related Concept Videos

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Urinary Tract Calculi VI: Surgical Management

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urinary Tract Infection II: Pathophysiology01:25

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The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...

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Updated: May 19, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
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Preoperative Urinary Tract Infection and Outcomes After Prolapse Surgery.

Iris Burgard1, Sarah Ashmore, Jinxuan Shi

  • 1Section of Urogynecology and Reconstructive Pelvic Surgery, University of Chicago, Chicago, IL.

Urogynecology (Philadelphia, Pa.)
|May 18, 2026
PubMed
Summary
This summary is machine-generated.

Preoperative urinary tract infection (UTI) increases risks for surgical site infections, sepsis, and reoperation after prolapse surgery. While overall complications were similar, delaying surgery for patients with UTI may improve outcomes.

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Outcomes Research

Background:

  • Preoperative urinary tract infection (UTI) is linked to poorer outcomes in some surgeries.
  • Limited data exists on UTI's impact in reconstructive pelvic surgery, specifically prolapse repair.

Purpose of the Study:

  • To investigate the association between preoperative UTI and 30-day postoperative outcomes in patients undergoing prolapse surgery.

Main Methods:

  • Retrospective cohort study utilizing the 2014-2021 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database.
  • Comparison of patients with and without preoperative UTI undergoing prolapse surgery using logistic regression analysis.

Main Results:

  • Of 86,619 patients, 273 (0.3%) had preoperative UTI and were more likely older, with higher BMI and ASA class.
  • Preoperative UTI was associated with increased risk of deep/organ space surgical site infection, perioperative transfusion, and sepsis.
  • Multivariable analysis showed preoperative UTI significantly increased odds of readmission (aOR: 4.8) and reoperation (aOR: 2.9).

Conclusions:

  • Preoperative UTI is a risk factor for specific complications like surgical site infections, sepsis, readmission, and reoperation following prolapse surgery.
  • Overall 30-day complication rates did not differ significantly between groups.
  • Consideration should be given to postponing elective prolapse surgery in patients with UTI to potentially enhance perioperative results.