July 26, 2025

Infection Prophylaxis in Urological Diagnostic and Surgical Procedures - A narrative review and recommendations.

Key Points

Main finding demonstrates essential recommendations for prophylactic antibiotic use in urological surgery.
Key evidence suggests antibiotic prophylaxis is vital for preventing surgical site infections in various urological procedures.
Approach included a narrative review of literature across multiple databases to gather comprehensive data.
Significance lies in improving urologic practice and patient outcomes by reducing infection risks during surgery.

Abstract

In this review we will provide recommendations for surgical site infection (SSI) prophylaxis in urological diagnostic and surgical procedures. We performed a narrative review of the literature in PubMed (Medline), EMBASE, LILACS, Web of Science, and Cochrane Collaboration databases using the terms "infection," "surgery," "urology," and "antibiotic prophylaxis" Results: We suggest recommendations of prophylactic antibiotic in the follow procedures: prostate biopsy, Urethrocystoscopy, Extracorporeal Shock Wave Lithotripsy (ESWL) for Urinary Stones, endoscopic ureterolithotripsy, percutaneous nephrolitothomy, Transurethral Resection of the Prostate (TURP) and Prostatic Enucleation, Transurethral Resection of Bladder Tumor (TURBT), Intravesical Botulinum Toxin Injection, surgical correction of female stress incontinence, Surgical Correction of Pelvic Organ Prolapse, urological prosthesis implantation and Open, Laparoscopic, and Robotic Urologic Surgery Conclusions: Consideration in SSI prophylaxis and the prophylactic antibiotic regimens in several urological procedures are show in this paper and will be useful to urologic practice.

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