Risk Factors for Urinary Tract Infections in Patients Who Underwent Transurethral Prostatectomy

Aim: Transurethral resection of prostate (TURP) is still the gold standard in the surgical treatment of benign prostatic hyperplasia (BPH). Urinary tract infection is an unwilling complication after the procedure. The aim of this study is to evaluate the risk factors which are responsable for the occurrence of nosocomial urinary system infection (NUSI) after TURP. Material and Method: A total of 175 patients with a mean age of 67.5±14.1 years ( ranged from 49 to 87 years) underwent transurehral prostatectomy for BPH in between January 2008 and June 2009. After the patients were divided two groups as NUSI and non-NUSI, Analyzse of the clinical parameters of preoperative PSA, previous prostate biopsy, operation time, resected tissue weight, hospitalization period and preoperative catheterization with the nosocomial urinary system infections was done. Results: NUSI was found in thirty-four (19.4%) patients. Preoperative catheterization (p=0.01) were found as the statistically significant risk factors in the group with nosocomial USI. There was no statistically significant correlation between the PSA, prostate biopsy, operation time, hospitalization period and resected tissue weight with the development of postoperative NUSI. Discussion: The patients with catheterization who are candidates of transurethral prostatectomy for the treatment of BPH should be examined detaily preoperatively period. Especially the patients who were preoperative catheterization should be followed up after the treatment for postoperative infection