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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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