Evidence map›Paper›PMID 41061685›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2026

Renal pelvis urine density as a predictor of infectious complications after semi-rigid ureterorenoscopy for ureteral stone treatment.

Oguzhan Yildiz, Ufuk Caglar, Huseyin Burak Yazili, Muhammed Rasit Tutal, Arda Meric, Omer Sarilar, Faruk Ozgor

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Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Oguzhan YildizDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Ufuk CaglarDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Huseyin Burak YaziliDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Muhammed Rasit TutalDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Arda MericDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Omer SarilarDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.
Faruk OzgorDepartment of Urology, Haseki Training and Research Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to investigate whether renal pelvis urine density (RPUD) serves as a reliable predictor of postoperative infectious complications in patients undergoing semi-rigid ureterorenoscopy (URS) for ureteral stone treatment.

methodsWe retrospectively reviewed 1104 patients who underwent semi-rigid URS for ureteral stones. Patients were divided into two groups based on whether they developed postoperative infections within one month (n=64) or not (n=1040). Demographic variables (age, sex, body mass index), comorbidities, stone characteristics (location, size, density), and operative parameters (operation time, stent/catheter placement) were recorded. RPUD was measured in Hounsfield units (HU) on preoperative imaging.

resultsOf the 1104 patients, 64 (5.8%) developed postoperative infections. The median RPUD was significantly higher in the infectious group (10 [5-17] HU) compared to the noninfectious group (4 [2-6] HU; p=0.001). On multivariate analysis, sex (odds ratio [OR] 4.001, 95% confidence interval [CI] 2.231-7.174, p=0.001), body mass index (OR 0.920, 95% CI 0.860-0.984, p=0.015), operative time (OR 0.963, 95% CI 0.932-0.996, p=0.028), and RPUD (OR 0.809, 95% CI 0.771-0.849, p=0.001) were independent predictors of postoperative infection. The area under the curve was 0.784 (95% CI 0.711-0.857, p<0.001), demonstrating good discriminative ability. When a cutoff value of 6.35 was applied, the sensitivity and specificity were 71.9% and 76.9%, respectively, for predicting postoperative infections.

conclusionsHigher RPUD is significantly associated with an increased risk of infectious complications following semi-rigid URS for ureteral stones. Incorporating RPUD into preoperative assessments may help identify high-risk patients and optimize perioperative management to reduce infection-related morbidity.

Identifiers

PMID41061685
PMCPMC13680024

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