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