Feasibility and relevance of urine culture during stone fragmentation in patients undergoing percutaneous nephrolithotomy and retrograde intrarenal surgery: a prospective study

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Infections are common complications in endourological procedures, with significant rates of fever, SIRS, and sepsis reported post-surgery.
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Preoperative bladder cultures are unreliable for predicting infections after endourology, as they do not reflect the upper urinary system's microbiological status.
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Stone and pelvic urine cultures are more accurate predictors of postoperative infections compared to bladder cultures.
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The study evaluated the clinical relevance of bacteria detected during stone fragmentation and its correlation with postoperative complications.
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Patients underwent standardized preoperative assessments, including urine cultures and antibiotic prophylaxis, to mitigate infection risks during surgery.

World Journal Of Urology

by E. De Lorenzis, L. Boeri, A. Gallioli, M. Fontana, S. P. Zanetti, F. Longo, R. Colombo, M. Arghittu, S. Piconi, G. Albo, A. Trinchieri, E. Montanari
July 30, 2020

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