Urinary culture and morbidity in gynecological surgery

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Abstract
Women (300) undergoing gynecological surgery were evaluated as regards post-operative morbidity and its relationship to urinary tract infections. The incidence of pre-operative positive urine cultures was 6.3%; this incidence almost tripled post-operatively. Post-operative morbidity was found in 39% of the cases, with the highest rate following vaginal surgery. Urinary tract infection was thought to be the cause in 20% of the cases, wound infection in 42% and unknown causes in 36% of the cases. The pre- and post-operative urine cultures were poorly related to morbidity; 41% of patients who had positive post-operative cultures suffered no morbidity. Thus, the mere finding of positive post-operative urine cultures may not have accounted for the morbidity in some of the cases; the need for further studies of the cause is discussed.

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