Endoscopic stone surgery: Minimizing the risk of post-operative sepsis

Paramananthan Mariappan*, David A. Tolley

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of review Urosepsis from manipulation of the urinary tract during stone surgery can be catastrophic despite antibiotic prophylaxis and sterile pre-operative urine. We have reviewed recent literature with regards to pathogenesis, predictors of infected stones and prevention of urosepsis. Recent findings Bladder urine culture has been found to correlate poorly with infection in the upper urinary tract, defined by either stone or pelvic urine culture. This specimen, which has been the cornerstone in pre-operative preparation of patients, does not predict urosepsis. Authors recommending routine stone culture found that the presence of infected stones is highly predictive of potential sepsis. Terminology for systemic infection has been standardized and used in recent literature to define urosepsis. Summary: Recent studies have recommended changes in the approach to the peri-operative management of stone surgery. Predictors of potential sepsis have also been identified.

Original languageEnglish
Pages (from-to)101-105
Number of pages5
JournalCurrent Opinion in Urology
Volume15
Issue number2
Publication statusPublished - Mar 2005

Keywords

  • Endoscopy
  • Stone surgery
  • Urinary calculi
  • Urinary tract infection
  • Urosepsis

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