Essential Japanese Guidelines for the Prevention of Perioperative Infections in the Urological Field: 2023 Edition.

Abstract

Recently, urological surgery has undergone remarkable technological advances and these new technologies are being adapted to a wide array of medical fields. Robotic-assisted laparoscopic procedures are not limited to radical prostatectomy, but include partial nephrectomy, pyeloplasty, radical cystectomy, and more. Perioperative infection control measures are not limited to the selection, method, and duration of antimicrobials, but include new evidence about smoking cessation, abstinence from alcohol, blood glucose control, and nutritional status assessment as well as time off just before operations. The new 2023 JUA guidelines for the prevention of perioperative infections in the urological field include general remarks and itemized discussion. We chose three standard treatments related to background questions and nine clinical questions. Although we have organized information to the best of our ability, there are still many areas where evidence is lacking. We anticipate that urology specialists will continue to report new findings and accumulate more evidence regarding unresolved areas for the next revision.