Comparison of preoperative and intraoperative cultures for predicting postoperative urinary tract infections following supine PCNL - Takeaways - MDSpire

Comparison of preoperative and intraoperative cultures for predicting postoperative urinary tract infections following supine PCNL

  • By

  • Ozgur, Gunal

  • Dorucu, Dogancan

  • Duran, Orhan Bugra

  • Gokmen, Ersin

  • Senoglu, Yusuf

  • Cam, Haydar Kamil

  • Sener, Tarik Emre

  • March 2, 2026

  • 0 min

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  • 1

    Percutaneous nephrolithotomy (PCNL) is the primary treatment for large renal stones, but postoperative infections remain a significant concern.

  • 2

    Postoperative urinary tract infections (UTIs) occurred in 14.1% of patients, with a notable increase in fever incidence among UTI-positive patients.

  • 3

    Intraoperative renal pelvic urine culture (RPUC) and stone culture (SC) are more reliable than preoperative midstream urine culture (PMUC) for predicting postoperative infections.

  • 4

    The study identified female gender and higher ASA scores as significant factors associated with increased risk of postoperative UTIs.

  • 5

    A total of 234 patients were analyzed, revealing a low overall complication rate but highlighting the importance of effective infection management post-PCNL.

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