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Journal of Education, Health and Sport

Risk factors for postoperative infectious complications after RIRS treatment of kidney and ureteral stones
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Risk factors for postoperative infectious complications after RIRS treatment of kidney and ureteral stones

Authors

  • Tomasz Stachura Wojewódzki Szpital Specjalistyczny Aleja Kraśnicka 100, 20-718 Lublin https://orcid.org/0000-0002-6419-8090
  • Sebastian Bąk 1 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Lublinie, Aleje Racławickie 23, 20-049 Lublin https://orcid.org/0000-0002-1771-0434
  • Kamil Budzeń 1 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Lublinie, Aleje Racławickie 23, 20-049 Lublin https://orcid.org/0000-0001-9577-9907
  • Paweł Wesołowski Wojewódzki Szpital Specjalistyczny im. Kardynała Stefana Wyszyńskiego SPZOZ w Lublinie Aleja Kraśnicka 100, 20-718 Lublin https://orcid.org/0000-0002-0165-4060
  • Konrad Gładysz Wojewódzki Szpital Specjalistyczny im. Kardynała Stefana Wyszyńskiego SPZOZ w Lublinie Aleja Kraśnicka 100, 20-718 Lublin https://orcid.org/0000-0003-4935-8823
  • Magdalena Marzęda Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie ul. Jaczewskiego 8, 20-954 Lublin https://orcid.org/0000-0003-4397-5214
  • Agnieszka Blicharz 1 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ w Lublinie, Aleje Racławickie 23, 20-049 Lublin https://orcid.org/0000-0003-4536-0651
  • Oliwer Sygacz Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie ul. Jaczewskiego 8, 20-954 Lublin https://orcid.org/0000-0003-3245-945X

DOI:

https://doi.org/10.12775/JEHS.2022.12.10.003

Keywords

Urolithiasis, Kidney Calculi, Retrograde Intrarenal Surgery, Urolithiasis infection

Abstract

Abstract

Introduction and aim of the study: Urolithiasis is a disease involving the formation of deposits in the lumen of the urinary tract. The continued development of minimally invasive treatment methods allows for more effective treatment with greater operator comfort and less risk to the patient. It has been concluded that retrograde intrarenal surgery (RIRS) is superior to other therapeutic methods in many respects. The aim of this study is to review the available studies and publications and to identify potential complications following treatment of kidney and ureteral stones by RIRS, with a particular focus on infectious complications and their risk factors.

 

Method and materials: We reviewed the literature available on PubMed and Google Scholar, using the words 'urolithiasis'; 'urolithiasis treatment'; 'retrograde intrarenal surgery'; 'infectious complications of retrograde intrarenal surgery'.

 

Results: Among the risk factors associated with infectious complications after RIRS, long duration of surgery, recent positive urine culture, urinary tract infections or antibiotic use, purulent urine, urinary nitrites, obstructed access through the ureter, struvite stones, co-morbidities play a special role.

 

Conclusions: Among the complications of surgical treatment of nephrolithiasis and ureteral stones by RIRS, infectious complications are of particular concern. In view of the knowledge of their risk factors, preventive measures should include limiting the duration of surgery, possible antibiotic therapy and considering the use of a larger diameter UAS. This is especially true for patients with abnormal urine results, struvite stones, a history of urinary tract infection or predisposing comorbidities.

 

Key words: Urolithiasis; Kidney Calculi; Retrograde Intrarenal Surgery; Urolithiasis infection;

References

Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical management of stones: American Urological Association/Endourological Society Guideline, part I. J Urol 2016;196:1153-60.

Türk C, Knoll T, Petrik A, Sarica K, Skolarikos A, Straub M, et al. EAU guidelines on urolithiasis: specific stone management of ureteral stones [Internet]. Arnhem: European Association of Urology; 2016 Mar [cited 2017 Nov 8]. Available from: https://uroweb.org/wp-content/uploads/EAU-Guidelines-Urolithiasis-2016-1.pdf.

Berardinelli F, Proietti S, Cindolo L, Pellegrini F, Peschechera R, Derek H, et al. A prospective multicenter European study on flexible ureterorenoscopy for the management of renal stone. Int Braz J Urol 2016; 42:479-86.

Fall B, Mouracade P, Bergerat S, Saussine C. Flexible ureteroscopy and laser lithotripsy for kidney and ureter stone: indications, morbidity and outcome. Prog Urol 2014;24:771–6.

Watson JM, Chang C, Pattaras JG, Ogan K. Same session bilateral ureteroscopy is safe and efficacious. J Urol 2011;185:170–4.

Berardinelli F, De Francesco P, Marchioni M, et al. Infective complications after retrograde intrarenal surgery: a new standardized classification system. Int Urol Nephrol 2016;48:1757–62.

Wollin DA, Joyce AD, Gupta M, et al. Antibiotic use and the prevention and management of infectious complications in stone disease. World J Urol 2017;35:1369–79.

Bhojani N, Miller LE, Bhattacharyya S, Cutone B, Chew BH. Risk factors for urosepsis after ureteroscopy for stone disease: a systematic review with meta-analysis. J Endourol. (2021) 1–10. doi: 10.1089/end.2020.1133

Sun J. Le, Xu JN, Ouyang J. Risk factors of infectious complications following ureteroscopy: a systematic review and meta-analysis. Urol Int. (2020) 104:113–24. doi: 10.1159/000504326

Bai T, Yu X, Qin C, Xu T, Shen H, Wang L, et al. Identification of factors associated with postoperative urosepsis after ureteroscopy with holmium: yttrium-aluminum-garnet laser lithotripsy. Urol Int. (2019) 103:311–7. doi: 10.1159/000502159

Blackmur JP, Maitra NU, Marri RR, Housami F, Malki M, McIlhenny C. Analysis of factors’ association with risk of postoperative urosepsis in patients undergoing ureteroscopy for treatment of stone disease. J Endourol. (2016) 30:963–9. doi: 10.1089/end.2016.0300

Alezra E, Lasselin J, Forzini T, François T, Viart L, Saint F. Facteurs favorisants les

infections sévères après urétéroscopie souple: intérêt de l'ECBU systématique la veille de l'intervention. Prog Urol. 2016; 26: 65-71.

Ozgor F, Sahan M, Cubuk A, Ortac M, Ayranci A, Sarilar O. Factors affecting infectious complications following flexible ureterorenoscopy. Urolithiasis. 2019; 47:481-486.

Jian ZY, Ma YC, Liu R, Li H, Wang K. Preoperative positive urine nitrite and albumin-globulin ratio are independent risk factors for predicting postoperative fever after retrograde Intrarenal surgery based on a retrospective cohort. BMC Urol. 2020; 20: 50.

Zhong W, Leto G, Wang L, Zeng G. Systemic inflammatory response syndrome after

flexible ureteroscopic lithotripsy: a study of risk factors. J Endourol. 2015; 29: 25-28

Peng L, Xu Z, Wen J, Zhong W, Zeng G. A quick stone component analysis matters in postoperative fever: a propensity score matching study of 1493 retrograde intrarenal surgery. World J Urol. 2021; 39: 1277-1285.

Kim DS, Yoo KH, Jeon SH, Lee SH. Risk factors of febrile urinary tract infections following retrograde intrarenal surgery for renal stones. Medicine (Baltimore). 2021; 100: e25182

Kazan O, Cakici MC, Keser F, et al. The role of preoperative urinalysis in predicting postoperative infection after retrograde intrarenal surgery in patients with sterile urine culture. Turk J Urol. 2022;48(2):136-141.

Wolf JS, Bennett CJ, Dmochowski RR, et al. Best practice policy statement on urologic surgery antimicrobial prophylaxis. https:// http://www.auanet.org/common/pdf/education/clinical-guidance/Antimicrobial-Prophylaxis.pdf2014.

EAU. European Association of Urology guidelines on urological infections, update 2018. http://uroweb.org/guideline/urological-infections/ dostęp z dnia 7.09.2022

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Published

2022-09-19

How to Cite

1.
STACHURA, Tomasz, BĄK, Sebastian, BUDZEŃ, Kamil, WESOŁOWSKI, Paweł, GŁADYSZ, Konrad, MARZĘDA, Magdalena, BLICHARZ, Agnieszka & SYGACZ, Oliwer. Risk factors for postoperative infectious complications after RIRS treatment of kidney and ureteral stones. Journal of Education, Health and Sport [online]. 19 September 2022, T. 12, nr 10, s. 27–34. [accessed 30.3.2023]. DOI 10.12775/JEHS.2022.12.10.003.
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Vol. 12 No. 10 (2022)

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Review Articles

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Copyright (c) 2022 Tomasz Stachura, Sebastian Bąk, Kamil Budzeń, Paweł Wesołowski, Konrad Gładysz, Magdalena Marzęda, Agnieszka Blicharz, Oliwer Sygacz

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