Complications of ureteroscopy with intracorporeal lithotripsy in patients with urinary tract infection
DOI:
https://doi.org/10.52786/isu.a.112Keywords:
Ureteric calculi, ureteroscopy, lithotripsy, urosepsis, SIRS, complicationAbstract
Objective: To study the risk of complications associated with ureteroscopy with intracorporeal lithotripsy in patients with urinary tract infection.
Materials and Methods: 420 patients who underwent ureteroscopy with lithotripsy from March 2022 to March 2024 in Sisaket Hospital were enrolled onto this study. Data pertinent to baseline characteristics, perioperative variables, successful outcome and associated complications were collected retrospectively. The efficacy of the procedure, including complications, length of hospital stay, and pain score, was analyzed and comparisons were made between patients with and without sepsis.
Results: 89 patients were categorized as being in the sepsis group, and 331 patients in the non-sepsis group. The average age in the sepsis group was 51.2 years and patients in the non-sepsis group were slightly older at 55.56 years. 58.43% of the sepsis group had no underlying disease, and 56.19% of the non-sepsis group (p = 0.706). There was no significant difference betweentotal complications in the sepsis and non-sepsis group at 24.72% and 18.73% respectively (p = 0.221). The most common complication was post-operative fever. There were no serious complication in the sepsis group. The mean hospital stay in the sepsis group was 3.99 days, which is significantly higher than in the non-sepsis or controlgroup, which was 2.94 days (p = 0.002). The pain score in the sepsis was significantly higher than in the controls.
Conclusion: Our study demonstrated that the postoperative complications of URSL in a non-sepsis group are comparable to the sepsis group. But sepsis increased the length of hospital stay and resulted in higher postoperative pain. The definitive treatment with URSL is safe for ureteric stone in mild sepsis patients. However, further large comparative studies with adequate follow-up stone clearance are recommended to support our results.
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