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) 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.