Positive preoperative urine culture is a predictor of urinary tract infections and fever following suction mini-PCNL: results from a large, multicenter series from the Endourology section of the European Association of Urology and the STUMPS collaborative group.

ABSTRACT:

Background

The clinical utility of preoperative mid-stream urine culture (MSUC) in predicting fever and urinary tract infections (UTIs) after suction-assisted mini-percutaneous nephrolithotomy (SM-PCNL) remains debated.

Objectives

This study aims to evaluate the correlation of postoperative fever and UTIs following SM-PCNL in patients with a positive preoperative MSUC versus those with a negative culture.

Design

This was a retrospective analysis of a prospectively collected registry including 693 patients from the international STUMPS registry (30 centers and 21 countries).

Methods

Patients were stratified by preoperative MSUC results. All positive cultures were treated with targeted antibiotics for ⩾5 days as per the antibiogram; repeated negative cultures bef

SUBMITTER: Cormio A 

PROVIDER: S-EPMC12696280 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature