ArticleWorld journal of urology2020
Predictive risk factors of urinary tract infection following flexible ureteroscopy despite preoperative precautions to avoid infectious complications.
Article in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- International Alliance of Urolithiasis guideline on retrograde intrarenal surgery.BJU international · 2023Guideline
- Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review.Current urology reports · 2021Pooled it
- Predictors of Urinary Infections and Urosepsis After Ureteroscopy for Stone Disease: a Systematic Review from EAU Section of Urolithiasis (EULIS).Current urology reports · 2020Pooled it
- Ureteral access sheath or percutaneous nephrostomy during flexible ureteroscopy: which is better?Urolithiasis · 2025Trial
- Foley catheter after ureteroscopy and JJ stent placement: a randomised prospective European Association of Urology Section of Urolithiasis-Young Academic Urologists (EULIS-YAU) endourology study.BJU international · 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
- Analysis of preoperative risk factors for clinical decision-making in female upper urinary tract stones: a retrospective cohort study.BMC urology · 2026Article
- Performance of Urine Fluorescence In Situ Hybridization for Diagnosis of Upper Tract Urothelial Carcinoma: A Comprehensive Review.International journal of molecular sciences · 2026Review
- Development and validation of an interpretable machine learning model for predicting postoperative fever after flexible ureteroscopic lithotripsy: a single-center retrospective cohort study.Frontiers in medicine · 2026Article
- Analysis of Risk Factors and Construction of a Prediction Model for Preoperative Concurrent Pathogenic Pyuria in Patients With Ureteral Calculi.Open forum infectious diseases · 2025Article
- Beyond the sheath: unmasking true predictors of Post-fURS fever through propensitymatched precision.World journal of urology · 2025Article
- Postoperative urinary tract infections following flexible ureteroscopy: a prospective cohort study in the West bank of Palestine.BMC urology · 2025Article
- Influence of pre-stenting on flexible and navigable suction (FANS) access sheath outcomes. Results of a prospective multicentre study by the EAU Section of Endourology and the global FANS collaborative group.Central European journal of urology · 2025Article
- A new scoring system to predict febrile urinary tract infection after retrograde intrarenal surgery.Urolithiasis · 2024Article
- Urinary Tract Infection Predictors in Patients Undergoing Retrograde IntraRenal Surgery for Renal Stones: Does the Instrument Make the Difference?Journal of clinical medicine · 2024Article
- Prospective Evaluation of Risk Factors Responsible for Infection Following Retrograde Intrarenal Surgery.Cureus · 2024Article
- Diagnosing upper tract urothelial carcinoma: A review of the role of diagnostic ureteroscopy and novel developments over last two decades.Asian journal of urology · 2024Review
- Urinary tract infection after flexible ureterorenoscopy for urolithiasis in patients with positive treated preoperative urinalysis.Urolithiasis · 2024Article
- Feasibility of multi-section continuum robotic ureteroscope in the kidney.Journal of robotic surgery · 2023Article
- Understanding the Role of Ureteral Access Sheath in Preventing Post-Operative Infectious Complications in Stone Patients Treated with Ureteroscopy and Ho:YAG Laser Lithotripsy: Results from a Tertiary Care Referral Center.Journal of clinical medicine · 2023Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUrinary tract infection (UTI) is a common complication after flexible ureteroscopy (fURS) despite technical precautions to avoid infectious complications. The aim was to investigate incidence and predictive risk factors of UTI following fURS procedure. PATIENTS AND
methodsWe conducted a retrospective study including consecutive fURS performed in our center from January 2015 to March 2019. The indications were: nephrolithiasis management and diagnosis and conservative treatment of upper urinary tract urothelial carcinomas (UTUC). Since 2015, we had technical precautions to avoid postoperative infectious complications: centralized collection of preoperative urine cultures which are examined daily by an urologist and a service provider, systematic use of ureteral access sheath and application of standardized antibiotic prophylaxis measures. The primary endpoint was occurrence of UTI within 15 days following fURS.
resultsSix hundred and four fURS were included for nephrolithiasis (n = 462) and UTUC management (n = 142). The median (IQR) age in the study cohort was 61(48-68) years, 268 female patients were included (44.4%), the median (IQR) Charlson score was 2(1-4) and single-use fURS were used in 186 cases (30.8%). Postoperative UTI occurred in 41 cases (6.7%). In multivariate analysis, female gender (OR 2.20 [1.02-5.02], p = 0.04), UTI within the last 6 months (OR 2.34 [1.12-5.11], p = 0.02), preoperative polymicrobial urine culture (OR 4.53 [1.99-10.56], p < 0.001) and increased operative time (OR 1.02 [1.002-1.031], p = 0.02) remain associated with postoperative UTI.
conclusionsIn a large cohort study, female gender, prior UTI, increased operative time and preoperative polymicrobial urine culture were associated with the occurrence of postoperative UTI. Limiting operative time and improving our knowledge of polymicrobial urine cultures could reduce the infectious risk.
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