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Low incidence of bacteriuria with outpatient flexible cystoscopy
Author(s) -
Lo TsiaShu,
Khanuengkitkong Siwatchaya,
Tan Yiap Loong,
Dass Anil Krishna,
Wu PeiYing,
AlKharabsheh Ahlam Mahmoud
Publication year - 2014
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12217
Subject(s) - cystoscopy , medicine , bacteriuria , outpatient clinic , urine , incidence (geometry) , urinary system , surgery , urology , gynecology , obstetrics , physics , optics
Aim To evaluate the incidence of bacteriuria after outpatient diagnostic flexible cystoscopy utilising sterile catheter urine collection technique in women. Materials and Methods This is a prospective observational study on 78 women who had outpatient flexible cystoscopy for various indications between M arch and D ecember 2011. Urine for culture was collected by transurethral catheterisation three to five days before cystoscopy, and a second urine sample was collected five to seven days after the procedure. Antibiotic prophylaxis was not administered. Significant bacteriuria was defined as 10 2 cfu/mL or more of a single organism cultured. Results Five (6.4%) had significant bacteriuria and were asymptomatic. The most common organism cultured was E scherichia coli in 4 (80%) of the infected women. No other cystoscopic complication was observed. The mean age was 54.7 years (range 27–80), mean parity was 2.8 (range 0–7). In the study group, 54 (69.2%) women were postmenopausal, 9 (11.5%) had diabetes mellitus, 42 (53.8%) had pelvic organ prolapse and 22 (28.2%) had a prior hysterectomy. Most common indications for cystoscopy were hematuria and recurrent UTI , 48 (61.5%) and 22 (28.2%) women respectively. The cystoscopic findings were normal in 59 (75.6%) women. The procedure was completed within five minutes in all participants. Conclusion The incidence of bacteriuria following outpatient flexible cystoscopy is low.