ArticleUrolithiasis2016
Identification of factors associated with postoperative febrile urinary tract infection after ureteroscopy for urinary stones.
Article in Urolithiasis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.
- Epidemiology and risk factors for ureteral stent-associated urinary tract infections in non-transplanted renal patients: a systematic review of the literature.World journal of urology · 2021Pooled it
- Enhanced versus extended preoperative antibiotic prophylaxis for retrograde intrarenal surgery in high infectious risk patients: a randomized controlled trial.World journal of urology · 2025Trial
- Postoperative systemic inflammatory response syndrome risk in asymptomatic versus symptomatic ureteral stone patients undergoing ureteroscopy: A retrospective comparative study.The Journal of international medical research · 2026Article
- Risk factors for postoperative febrile urinary tract infection in patients with urolithiasis: a meta-analysis.Frontiers in surgery · 2026Article
- Urine Culture in Endourology - Clinical Relevance, Strengths and Controversies.Current urology reports · 2025Review
- Optimizing antibiotic duration and percutaneous nephrostomy timing in urosepsis complicated by upper ureteral stones: a retrospective study.BMC urology · 2025Article
- Constructing a machine learning model for systemic infection after kidney stone surgery based on CT values.Scientific reports · 2025Article
- Urinary Tract Infection Predictors in Patients Undergoing Retrograde IntraRenal Surgery for Renal Stones: Does the Instrument Make the Difference?Journal of clinical medicine · 2024Article
- Article
- A case of urinary calculus in a patient with Ehlers-Danlos syndrome.IJU case reports · 2023Article
- Single-Use Ureteroscopes Are Associated with Decreased Risk of Urinary Tract Infection After Ureteroscopy for Urolithiasis Compared to Reusable Ureteroscopes.Journal of endourology · 2023Article
- Risk of Sepsis in Retrograde Intrarenal Surgery: A Systematic Review of the Literature.European urology open science · 2022Review
- Article
- The Role of Preoperative Urinalysis in Predicting Postoperative Infection After Retrograde Intrarenal Surgery in Patients with Sterile Urine Culture.Turkish journal of urology · 2022Article
- Can the Stone Scoring Systems Be Used to Predict Infective Complications of Retrograde Intrarenal Surgery?Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022Article
- Application of Suctioning Ureteral Access Sheath during Flexible Ureteroscopy for Renal Stones Decreases the Risk of Postoperative Systemic Inflammatory Response Syndrome.International journal of clinical practice · 2022Article
- Patients with preoperative asymptomatic pyuria are not prone to develop febrile urinary tract infection after ureteroscopic lithotripsy.BMC urology · 2021Observational
- Optimal duration of preoperative antibiotic treatment prior to ureteroscopic lithotripsy to prevent postoperative systemic inflammatory response syndrome in patients presenting with urolithiasis-induced obstructive acute pyelonephritis.Investigative and clinical urology · 2021Article
- Risk factors for urinary infection after retrograde upper urinary lithotripsy: Implication for nursing.Medicine · 2021Article
- Preoperative urine nitrite versus urine culture for predicting postoperative fever following flexible ureteroscopic lithotripsy: a propensity score matching analysis.World journal of urology · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to elucidate risk factors associated with postoperative febrile UTI after URS for urinary stones. Data from 153 patients undergoing URS for renal and/or ureteral stones between 2011 and 2013 at a single center were reviewed to detect factors predicting postoperative febrile UTI. URS for residual stones was excluded. Postoperative febrile UTI was defined as body temperature >38 °C and was graded according to the Clavien grading system. The definition of pyuria was 10 or more white blood cells per high power field. Median age of the patients was 57 (range 17-89) years. Of the 153 patients, 98 (64.1 %) were male, 10 (6.5 %) had Eastern Cooperative Oncology Group performance status 2 or greater, 14 (9.2 %) had Charlson comorbidity index 3 or greater. Before URS, 69 (45.1 %) had pyuria, 27 (17.6 %) had acute pyelonephritis, 42 (27.5 %) had ureteral stent, and 50 (32.7 %) were treated with antibiotics. After URS, 28 (18.3 %) developed febrile UTI (Clavien grade I, n = 16; grade II, n = 10; grade III, n = 1; grade IV, n = 1). Preoperative pyuria and acute pyelonephritis were significant factors for postoperative febrile UTI (pyuria: odds ratio 3.62, 95 % CI 1.26-8.11, P value 0.017; pyelonephritis: odds ratio 4.43, 95 % CI 1.06-11.16, P value 0.044). Degree of pyuria was likely to be associated with severity of postoperative febrile UTI, and two cases (1.3 %) with severe pyuria developed sepsis. Careful management is needed for patients with preoperative pyelonephritis or pyuria; risk factors for postoperative febrile UTI to avoid sepsis.
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