Bacteriúria e patologia do pavimento pélvico

Overview and Aims: Pelvic floor dysfunction is associated with an increased risk of urinary tract infection (UTI). The correction surgery is a risk for UTI. The first objective was to evaluate and compare bacteriuria rates in patients with pathology of the pelvic floor (pelvic organ prolapse (POP) a...

Full description

Bibliographic Details
Main Author: Pereira,Sara Rodrigues (author)
Other Authors: Policiano,Catarina (author), Henriques,Alexandra (author), Ribeirinho,Ana Luisa (author), Lourenço,Alexandre Valentim (author)
Format: article
Language:por
Published: 2019
Subjects:
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302019000100005
Country:Portugal
Oai:oai:scielo:S1646-58302019000100005
Description
Summary:Overview and Aims: Pelvic floor dysfunction is associated with an increased risk of urinary tract infection (UTI). The correction surgery is a risk for UTI. The first objective was to evaluate and compare bacteriuria rates in patients with pathology of the pelvic floor (pelvic organ prolapse (POP) and/or urinary incontinence (UI)). The second objective was to evaluate bacteriuria rate after surgery. Study Design, Population and Methods: retrospective study that included women proposed for surgery for POP and/or stress urinary incontinence (SUI) between January 2009 and May 2015, in a tertiary hospital. The patients who collected urine for urine culture (UC) before and after intervention were included. Results: For assessment of the first objective 373 patients were included and divided into three groups: POP (168), SUI (117) and POP + SUI (88). The overall bacteriuria rate before surgery was 13.7% (51/373), with no statistically significant difference between the groups: POP (13,1%) vs IU (13,7%) vs POP+IU (14,8%) (p=0,933). To evaluate the second objective 228 patients undergoing surgical correction were included: POP (113) SUI (44) and POP and SUI (71). The overall bacteriuria rate in the postoperative period was 9.6% (22/228), with no statistically significant difference between the groups: POP (9,7%) vs SUI (13,6%) vs POP+SUI (7,0%) (p=0,507). Conclusions: Global bacteriuria rates found are consistent with previous studies. There was no significant variation between bacteriuria rate and surgical intervention performed, namely to correct POP and/or SUI. For this sample, bacteriuria rate in patients with pathology of the pelvic floor (POP and/or SUI) does not vary with the identified condition or with the type of surgical correction.