ArticleInternational urology and nephrology2026
Postoperative urinary tract infections and the role of Tc-99 m-MAG3 renography scans following construction of a urinary diversion.
Article in International urology and nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
purposeTo identify risk factors for postoperative urinary tract infection (UTI) within 90 days following construction of a urinary diversion, and to assess the association between UTIs and results of renography scans 6-8 weeks postoperatively.
methodsA retrospective review of 612 patients who received a urinary diversion with or without radical cystectomy at Rigshospitalet, Denmark between January 2019 and January 2025. The primary outcome was UTI within 90 days after surgery, defined as presence of relevant symptoms, urine culture ≥ 10,000 CFU, and treatment with antimicrobials. Delayed excretion on Tc-99 m-MAG3 renography was defined as documentation thereof in the medical records by a urologist. Cox regression and multivariable logistic regression were performed to identify risk factors.
resultsA total of 346 UTIs occurred in 242 patients (40%) within 90 days after surgery. Bacteremia was present in 111 (32%) of the UTIs. Cox regression showed that female sex (HR = 1.5), BMI 25-30 kg/m
conclusionPostoperative UTI after urinary diversion is common and often complicated by bacteremia. Several risk factors for UTI within 90 days were identified, with the highest HR for continent diversions. Delayed excretion on renography was associated with occurrence of UTI, indicating that UTI is related to postoperative urine obstruction.
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