Urinary tract infection before and after mid-urethral slings: culture-proven diagnosis and analysis of risk factors

El‐Hefnawy, Ahmed S.; Nabeeh, Adel; Sawy, Essam El; Wadie, Bassem

doi:10.1007/s11255-010-9807-7

Cited by 3 publications

(2 citation statements)

References 22 publications

(35 reference statements)

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“…In the current study, UTI was diagnosed based on urine culture, which is considered to be more accurate than reporting of dysuria or presence of pyuria. 22 There was a significant higher rate of UTI in the trigonal-involved group ranging from 5.6% to 11.7% at each follow-up visit. This was similar to results seen in the EMBARK trial where the rate of UTI was listed as 17%…”

Section: Discussionmentioning

confidence: 79%

“…On the other hand, UTI is cited as the most common side effect following injection of Botox (complications). In the current study, UTI was diagnosed based on urine culture, which is considered to be more accurate than reporting of dysuria or presence of pyuria 22 . There was a significant higher rate of UTI in the trigonal‐involved group ranging from 5.6% to 11.7% at each follow‐up visit.…”

Section: Discussionmentioning

confidence: 84%

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Trigonal‐sparing versus trigonal‐involved Botox injection for treatment of idiopathic overactive bladder: A randomized clinical trial

El‐Hefnawy

Elbaset

Taha

et al. 2020

LUTS

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Objective: To evaluate safety and efficacy of trigone-involved Botox injections in comparison with trigone-sparing injections in refractory idiopathic overactive bladder (OAB). Materials and Methods: One hundred and three patients randomly received a 100-IU intradetrusal injection of Botox either sparing the trigone (52 patients) or involving the trigone (51 patients). Patients were prospectively evaluated at 1, 3, and 6 months. Efficacy was evaluated by 3-day voiding diaries, OAB symptom score (OABSS), and pressure flow study. Any complications were recorded. An ascending cystogram was done at 3 months for detection of vesicoureteral reflux. Urinary tract infection (UTI) was estimated on urine culture basis. Primary outcome was the difference of total OABSS at 3 months. Results: The mean age ± SD was 34.3 ± 10 years (range 18-59 years). There was a reduction of episodes of all components of OAB in both groups in comparison with baseline by the end of the study but without significant difference between both groups. The trigonal-sparing group had less score of frequency compared with the trigonal-involved group throughout the study period (P < .05). There was no difference in OABSS at 3 months (1.5 ± 0.4 vs 1.6 ± 0.3, P .875). Two patients in the trigonal-involved group out of 51 (3.9%) were in need of clean intermittent catheterization because of voiding difficulty and a postvoid residual > 200 mL. There was a higher rate of UTI in the trigonal-involved group ranging from 5.6% up to 11.7% at each follow-up visit. No patient had reflux. Conclusion: Trigone injections are not superior to trigone-sparing injections. On the contrary, the incidence of UTI and voiding difficulty were higher. The concept of reflux induced by trigonal injection has not been proven.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 84%