The effect of the duration between urine culture and semirigid
ureteroscopic on the rate of systemic inflammatory response syndrome
postoperatively
Abstract
Purpose: The aim of this study is to analyze the preoperative and
intraoperative factors that might induce systemic inflammatory response
syndrome after semirigid ureteroscopic lithotripsy (SULL) , and to
evaluate the impact of duration between preoperative bladder urine
culture (PBUC) and surgery on postoperative systemic inflammatory
response syndrome (SIRS). Methods: A retrospective review was conducted
including patients who underwent SULL in our center between January 2011
and June 2020. Prior to surgery, PBUC were obtained from all patients
and postoperatively patients were observed for signs of SIRS.
Univariable and multivariable binary logistic regression analysis were
implemented to demonstrate the factors that predict SIRS
postoperatively. Results: The entire study included a cohort of 572
patients. The rate of SIRS following SULL was 1.7%. Predictive factors
for SIRS were listed as stone volume, surgical time, and history of
recurrent urinary tract infection. No significant difference was
detected in terms of the duration between PBUC and SULL when comparing
the SIRS group with the other group. Conclusion: The duration between
PBUC and SULL is not an efficacious factor for SIRS. It may be useful to
conduct prospective studies to enlighten this issues as endourologists
deal with this duration dilemma often in daily practice. Keywords:
Semirigid ureteroscopic lithotripsy, Systemic inflammatory response
syndrome, Preoperative bladder urine culture