ArticleCureus2025
Comparative Study of Preoperative Urine Culture and Intraoperative Stone Culture in Predicting Postoperative Morbidity.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPostoperative urosepsis after endourological treatments is a life-threatening condition, especially when the individual has urolithiasis. Although preoperative urine culture is a routine tool for guiding antibiotic prophylaxis, it frequently fails to identify bacteria embedded in urinary stones, which may lead to undiagnosed postoperative morbidity. Hence, this study aimed to evaluate the association between preoperative urine culture and intraoperative stone culture and determine their predictive value for postoperative infectious complications in patients undergoing endourological procedures. MATERIAL AND
methodsThis prospective observational study was conducted among 125 adult patients undergoing surgical treatment of urolithiasis in a tertiary care facility between June 2023 and December 2024. Urine culture collected before surgery and stone for stone culture obtained during surgery were tested for microbial growth and antibiotic sensitivity patterns. C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), total leukocyte count (TLC), and hospital stay were measured as postoperative parameters in addition to culture results.
resultsCulture was positive in the urine of 27 (21.6%) patients, while stone culture was positive in 61 (48.8%) cases. The most common organisms were
conclusionPreoperative urine culture alone is an unreliable predictor of postoperative infectious complications. Intraoperative stone culture is a superior tool for identifying occult pathogens and predicting morbidity. Incorporating routine stone culture into urolithiasis management can enable timely, targeted antibiotic therapy and reduce postoperative morbidity.
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