Urinary Tract Infections Following Trans Uretheral Resection of Prostate (TURP)

Abstract

SUMMARY B enign Prostatic Hyperplasia (BPH) is a common problem seen in male especially over the age of 50years old, also 25% of male up to age of 80 years receiving medical or surgical treatment is due to BPH. Postoperative bacteriuria is a frequent event after transurethral resection of the prostate. Certain risk factors have been clearly established, while others remain uncertain. Risk factors for infectious complications are rarely debated, however, our knowledge of the relative importance of individual risk factors and their cumulative impact is limited. This study was conducted to identify the factors that increase risk of infection (pyuria and bacteriuria) following TURP. Our study included 100 patients from Urology departments of Al-Demerdash and Sidnaoui hospitals. These patients were assessed for pyuria and bacteriuria three weeks following operation and has been correlated with preoperative, intraoperative and postoperative risk factors. We found that infection rate was higher than reported in other studies as 44 patients (44%) had Pyuria 3 weeks postoperatively. We found that 36 patients (36%) had bacteriuria 3 week postoperatively. After univariate and multivariate analysis the preoperative risk factors that were statistically significant with the incidence of postoperative UTI were old age, past history of DM, large prostatic size, positive preoperative urine analysis and C&S, preoperative catheter presence and latex catheter. There was no statistical significant relation with other parameters. After univariate and multivariate analysis the intraoperative risk factors that were statistically significant with the incidence of postoperative UTI were reusability of irrigating y-tube, large size of sheath and longer duration of operation. There was no statistical significant relation with other parameters. After univariate and multivariate analysis the postoperative risk factors that were statistically significant with the incidence of postoperative UTI were postoperative catheter events, postoperative manual wash and reusable syringe used in manual wash. There was no statistical significant relation with other parameters.