One week pre-operative oral antibiotics for percutaneous nephrolithotomy reduce risk of infection: a systematic review and meta-analysis

Article Urology & Nephrology

Preoperative antibiotic therapy exceeding 7 days can minimize infectious complications after percutaneous nephrolithotomy in patients with positive urine culture

Peng Xu et al.

Summary: The study found that in patients with positive urine cultures, a duration of antibiotic therapy exceeding seven days before PCNL significantly reduces the incidence of postoperative systemic inflammatory response syndrome (SIRS).

WORLD JOURNAL OF UROLOGY (2022)

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Review Urology & Nephrology

Infectious complications of endourological treatment of kidney stones: A meta-analysis of randomized clinical trials

Rawa Bapir et al.

Summary: The type of endourological procedure does not appear to be decisive in the onset of infectious complications, although the prevention of high intrarenal pressure during the procedure could be crucial in defining the risk of infectious complications.

ARCHIVIO ITALIANO DI UROLOGIA E ANDROLOGIA (2022)

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Article Urology & Nephrology

A novel nomogram and a simple scoring system for urinary leakage after percutaneous nephrolithotomy

Murat Sahan et al.

Summary: A novel scoring system has been developed as a useful tool for predicting prolonged urinary leakage after percutaneous nephrolithotomy. The scoring system includes three characteristics: parenchymal thickness, duration of nephroscopy, and hydronephrosis grade.

INTERNATIONAL BRAZ J UROL (2022)

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Article Urology & Nephrology

A Randomized Controlled Trial of Preoperative Prophylactic Antibiotics for Percutaneous Nephrolithotomy in Moderate to High Infectious Risk Population: A Report from the EDGE Consortium

Roger L. Sur et al.

Summary: The study compared the effectiveness of 2-day versus 7-day preoperative antibiotics in moderate to high risk patients undergoing percutaneous nephrolithotomy. Results showed that 7 days of antibiotics reduced the risk of sepsis compared to 2 days, with no significant differences in nonseptic bacteriuria, stone-free rate, and length of stay. Future guidelines for antibiotic recommendations in percutaneous nephrolithotomy should consider stratifying patients based on infectious risk.

JOURNAL OF UROLOGY (2021)

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Review Urology & Nephrology

Contemporary considerations in the management and treatment of lower pole stones

Ridwan Alam et al.

Summary: The standard options for managing lower pole stones include observation, shock wave lithotripsy, retrograde intrarenal surgery, or percutaneous nephrolithotomy. Each approach has its own set of risks and benefits, which must be considered in the context of patient preference and expected outcomes. Practice in this area is informed by experiences managing stones not only in the lower pole, but also in other locations within the kidney.

INTERNATIONAL BRAZ J UROL (2021)

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Article Urology & Nephrology

Patients with encrusted ureteral stents can be treated by a single session combined endourological approach

Roberto Iglesias Lopes et al.

Summary: This study evaluated 50 patients with retained encrusted ureteral stents who underwent a single session combined endourological approach. The FECal classification was useful for surgical planning, and the stone-free rate was lower in grades III to V. Percutaneous nephrolithotomy was the most common procedure for grades IV and V. The endoscopic combined approach in the supine position was safe and feasible for removal of retained and encrusted stents in a single procedure.

INTERNATIONAL BRAZ J UROL (2021)

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Review Urology & Nephrology