ReviewCentral European journal of urology2021
Risk factors for infectious complications after retrograde intrarenal surgery - a systematic review and narrative synthesis.
Review in Central European journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 40 citations in OpenAlex.
- Safety and efficacy of a flexible and navigable suction ureteral access sheath vs. a conventional intelligent pressure-control sheath in retrograde intrarenal surgery for infection-related renal calculi.International urology and nephrology · 2026Trial
- Enhanced versus extended preoperative antibiotic prophylaxis for retrograde intrarenal surgery in high infectious risk patients: a randomized controlled trial.World journal of urology · 2025Trial
- Outpatient versus inpatient flexible ureteroscopy with flexible and navigable suction access sheath: A multicenter comparative analysis of perioperative outcomes from the flexible and navigable access sheath collaborative study group.Asian journal of urology · 2026Article
- Feasibility of flexible and navigable suction ureteral access sheath in pediatric ureteroscopy: A systematic review from the European Association of Urology Section of Endourology.Asian journal of urology · 2026Review
- Persistent asymptomatic bacteriuria despite targeted antibiotic treatment predicts infectious complications after RIRS: a 10-year experience with 1122 procedures.World journal of urology · 2026Article
- Urinary Tract Infectious Complications After Retrograde Intrarenal Surgery: The RIRS-STAMP Risk Score from a Two-Center Cohort.Pathogens (Basel, Switzerland) · 2026Article
- Effect of prior diverse surgical histories on the efficacy and safety of one-stage retrograde intrarenal surgery in patients with renal stone: a retrospective study.Frontiers in urology · 2026Article
- Risk factors for infections after urological procedures among patients with negative urine culture screening.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Safety and efficacy of flexible and navigable suction combined with retrograde flexible ureteroscopy in the management of infectious stones.BMC infectious diseases · 2025Article
- Development of machine learning models to predict the risk of fungal infection following flexible ureteroscopy lithotripsy.BMC medical informatics and decision making · 2025Article
- Prevention and Management of Infectious Complications in Retrograde Intrarenal Surgery: A Comprehensive Review.Cureus · 2024Review
- Postoperative Renal Abscess Following Tip-Flexible Suctioning Ureteral Access Sheath and Digital Ureteroscopic Lithotripsy: A Case Report.The American journal of case reports · 2024Article
- Scoping Review of Experimental and Clinical Evidence and Its Influence on Development of the Suction Ureteral Access Sheath.Diagnostics (Basel, Switzerland) · 2024Article
- Trifecta in flexible ureteroscopy for treatment of renal and upper ureteral calculi: A multicenter study.Arab journal of urology · 2024Article
- Summary of guidelines from the Polish Urological Association, Polish Society of Gynaecologists and Obstetricians, and Polish Society of Family Medicine on the diagnosis, therapy, and management of community-acquired lower urinary tract infections.Central European journal of urology · 2024Article
- Risk of Sepsis in Retrograde Intrarenal Surgery: A Systematic Review of the Literature.European urology open science · 2022Review
- Commentary: Outcomes and lessons learnt from practice of retrograde intrarenal surgery (RIRS) in a paediatric setting of various age groups: a global study across 8 centres.World journal of urology · 2022Article
- Holmium Laser Lithotripsy for Urinary Calculi: A Retrospective Analysis from a Tertiary Hospital in Abuja, Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
- Ureteroscopy and Holmium:YAG Laser Lithotripsy For Upper Tract Stones in a New Urology Centre: Our Initial Experience.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Quadrifecta during retrograde intrarenal surgery: suction, irrigation, intrarenal temperature and pressure: achieving best clinical outcomes - an overview from EAU Endourology.Therapeutic advances in urologyArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInfectious complications are among the most frequent and significant complications in retrograde intrarenal lithotripsy. To date, review articles have covered complications after a ureteroscopy, but not after retrograde intrarenal surgery (RIRS), specifically. Because the complications and risk factors are different for a ureteroscopy and RIRS, we aimed to identify variables related to the occurrence of infectious complications post-RIRS. MATERIAL AND
methodsThis systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. We included original studies that described 100 or more procedures published in 2014-2021. We extracted data and performed a narrative synthesis to explore and interpret differences between the studies.
resultsWe selected 17 studies for analysis, including 10 from 2019-2021. Infectious complications after RIRS were observed in 2.8-7.5% of patients (mean 7.1%). We found seven independent risk factors associated with infectious complications after RIRS: long operative time, recent history of positive urine culture or urinary tract infection or antibiotic use, pyuria/nitrites, small caliber of ureteral access sheath, struvite stone, high irrigation rate, and comorbidities.
conclusionsIf an increased rate of infectious complications is found at a RIRS center, countermeasures should include restrictions on operative time and irrigation rate, and consideration of larger access sheaths, especially for patients with abnormal urine results or with struvite stones or with a history of urinary tract infection or co-morbidities.
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