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Abstract
Videourodynamic studies (VUS) of the lower urinary tract are useful in the evaluation
of complicated voiding dysfunctions. These studies involve placement of urethral and
rectal catheters, measurement of pressures during bladder filling and voiding, and
simultaneous fluoroscopic cystourethrography. A cluster of five cases of urosepsis
occurred in patients examined with VUS between November 1981 and February 1982. Pseudomonas aeruginosa was cultured from the blood and/or urine of three of these patients. P. aeruginosa was also recovered from cultures of fluid within the stopcock-tubing-syringe apparatus
used to connect the urethral catheter to the pressure transducer. The temporal relationship
of urosepsis to the VUS procedure and the identification of an environmental reservoir
of P. aeruginosa suggest that these episodes were related to VUS.
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© 1984 Published by Elsevier Inc.
