Early Stone Manipulation in Urinary Tract Infection Associated with Obstructing Nephrolithiasis

Joint Authors

Dafashy, Tamer J.
Sonstein, Joseph
Swonke, Megan L.
Mahmoud, Ali M.
Farran, Elias J.
Kerr, Preston S.
Kosarek, Christopher D.

Source

Case Reports in Urology

Issue

Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2018-11-25

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Medicine

Abstract EN

A urinary tract infection (UTI) and sepsis secondary to an obstructing stone are one of the few true urological emergencies.

The accepted management of infected ureteral stones includes emergent decompression of the collecting system as well as antibiotic therapy.

Despite this, no consensus guidelines clarify the optimal time to undergo definitive stone management following decompression.

Historically, our institution has performed ureteroscopy with laser lithotripsy (URS-LL) treatment at least 1 to 2 weeks after decompression to allow for clinical improvement and completion of an antibiotic course.

In this case series, we retrospectively review four cases in which patients had a documented UTI secondary to an obstructive ureteral stone.

The patients underwent urgent decompression and, based on labs and clinical improvement, were subsequently treated with URS-LL.

The presented patients received URS-LL within 5 days of decompression and antibiotics.

The patients had no sepsis related postoperative complications from the accelerated course of treatment, resulting in discharge within 2 days following URS-LL.

We provide a detailed examination of each patient presentation to describe our institution’s experience with treating infected kidney stones within days of urgent decompression in order to question the previous standard of treating an infected kidney stone with a more delayed intervention.

American Psychological Association (APA)

Swonke, Megan L.& Mahmoud, Ali M.& Farran, Elias J.& Dafashy, Tamer J.& Kerr, Preston S.& Kosarek, Christopher D.…[et al.]. 2018. Early Stone Manipulation in Urinary Tract Infection Associated with Obstructing Nephrolithiasis. Case Reports in Urology،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1151329

Modern Language Association (MLA)

Swonke, Megan L.…[et al.]. Early Stone Manipulation in Urinary Tract Infection Associated with Obstructing Nephrolithiasis. Case Reports in Urology No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1151329

American Medical Association (AMA)

Swonke, Megan L.& Mahmoud, Ali M.& Farran, Elias J.& Dafashy, Tamer J.& Kerr, Preston S.& Kosarek, Christopher D.…[et al.]. Early Stone Manipulation in Urinary Tract Infection Associated with Obstructing Nephrolithiasis. Case Reports in Urology. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1151329

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1151329