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March 21, 2026World Journal of Urology0 citationsOpen Access

Urine culture–guided antibiotic prophylaxis reduces febrile pyelonephritis after ureteral stent removal following radical cystectomy

HKHiroyuki KitanoEWEisuke WatanabeKTKayoko Tadera

Key Points

  • The aim is to determine if urine culture-guided antibiotic use can minimize febrile pyelonephritis occurrences after ureteral stent removal.
  • Utilized urine culture to guide antibiotic selection before stent removal
  • Focused on high-risk individuals following radical cystectomy with intestinal urinary diversion
  • Monitored incidence rates of febrile pyelonephritis post-procedure
  • Significant reduction in febrile pyelonephritis incidents after using culture-guided antibiotics
  • Demonstrated efficacy of infection prevention strategy in selected high-risk population

Abstract

Urine culture-guided prophylactic antibiotic selection before ureteral stent removal significantly reduced febrile pyelonephritis after radical cystectomy with intestinal urinary diversion, supporting its use as an effective infection prevention strategy in this high-risk population.

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Cite This Study

Kitano et al. (2026) studied this question.

synapsesocial.com/papers/69be37f16e48c4981c677f2ahttps://doi.org/10.1007/s00345-026-06334-z
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Risk Factors Associated with Acute Pyelonephritis in Healthy Women2005 · 250 citations
  2. 2Association of Duration and Type of Surgical Prophylaxis With Antimicrobial-Associated Adverse Events2019 · 376 citations
  3. 3Bladder, bowel and bugs?bacteriuria in patients with intestinal urinary diversion2004 · 55 citations
  4. 4Best Practice Statement on Urologic Procedures and Antimicrobial Prophylaxis2019 · 353 citations
  5. 5Defining Early Morbidity of Radical Cystectomy for Patients with Bladder Cancer Using a Standardized Reporting Methodology2008 · 1,413 citations