Does Routine Urine Culture Testing Before Endoscopic Prostate Surgery Decrease Postoperative Urinary Tract Infection? An Analysis of the Veterans Affairs Surgical Quality Improvement Program

Routine preoperative UCX testing was not associated with postoperative UTI risk in endoscopic prostate surgery. Veterans with a historically positive UCX were more likely to receive a preoperative UCX but still had higher postoperative UTI risk. It remains unclear if these patients may be better served by broader spectrum periprocedural antibiotics as opposed to culture-directed antibiotics.