MP51-14 PERCUTANEOUS NEPHROLITHOTOMY AFTER RECENT UROLITHIASIS RELATED SEPSIS: WHAT SHOULD PATIENTS EXPECT? ANSWERS FROM A MATCHED PAIR ANALYSIS

You have accessJournal of UrologyStone Disease: Surgical Therapy V1 Apr 2016MP51-14 PERCUTANEOUS NEPHROLITHOTOMY AFTER RECENT UROLITHIASIS RELATED SEPSIS: WHAT SHOULD PATIENTS EXPECT? ANSWERS FROM A MATCHED PAIR ANALYSIS Ramy F Youssef, Andreas Neisius, Melissa Suarez, Simone L Vernez, Gastòn M Astroza, Zachariah G Goldsmith, Momin Ghaffar, Matvey Tsivian, Glenn Preminger, and Michael E Lipkin Ramy F YoussefRamy F Youssef More articles by this author , Andreas NeisiusAndreas Neisius More articles by this author , Melissa SuarezMelissa Suarez More articles by this author , Simone L VernezSimone L Vernez More articles by this author , Gastòn M AstrozaGastòn M Astroza More articles by this author , Zachariah G GoldsmithZachariah G Goldsmith More articles by this author , Momin GhaffarMomin Ghaffar More articles by this author , Matvey TsivianMatvey Tsivian More articles by this author , Glenn PremingerGlenn Preminger More articles by this author , and Michael E LipkinMichael E Lipkin More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.469AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The outcomes of percutaneous nephrolithotomy (PNL) for patients with a history of urolithiasis-related sepsis are unknown. The aim of this study was to compare the outcomes and complications of PNL in patients with and without a recent history of sepsis. METHODS The study included patients who underwent PNL for stone removal from 2001 to 2011. A matched-pair analysis was performed using 3 parameters (age, gender and race) to compare outcomes and complications between 26 patients who initially presented with sepsis prior to PNL versus a matched 52 patients (1:2 matching ratio) who did not have sepsis before PNL. RESULTS The study included 78 patients, 56 females (72%) and 22 males (28%) with a median age of 51 (range, 18-80). There was no significant difference in demographics, stone size, stone free rate and overall complication rates between both groups (p > 0.05). The median time between treatment of sepsis and definitive treatment was 37 days (range, 3-92). Patients with prior sepsis had a significantly higher incidence of postoperative fever, greater length of hospital stay (LOS), prolonged use of antibiotics and recurrent urinary tract infection (UTI) during follow up (p < 0.05). There were no high grade in the sepsis group (5 patients developed postoperative fever and 1 patient had mild hematuria). Among those without prior sepsis, 7 (13.5%) developed high grade complications including 1 case (1.9%) of postoperative sepsis. CONCLUSIONS Patients who will undergo PNL after treatment of urolithiasis-related sepsis may expect success and overall complication rates similar to patients without prior sepsis. However, postoperative fever and recurrent UTI may be more likely. These patients should be counseled about longer hospital stay, prolonged coverage with antibiotics after surgery and the possibility of recurrent UTI. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e685-e686 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Ramy F Youssef More articles by this author Andreas Neisius More articles by this author Melissa Suarez More articles by this author Simone L Vernez More articles by this author Gastòn M Astroza More articles by this author Zachariah G Goldsmith More articles by this author Momin Ghaffar More articles by this author Matvey Tsivian More articles by this author Glenn Preminger More articles by this author Michael E Lipkin More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...