Does surgical removal of kidney stones help prevent the recurrence of urinary tract infections? A systematic review.

IF 2.2 3区医学 Q2 UROLOGY & NEPHROLOGY

Current Opinion in Urology Pub Date : 2025-07-22 DOI:10.1097/MOU.0000000000001328

Michelle Yuki Man, Bhaskar Somani, Amelia Pietropaolo

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引用次数: 0

Abstract

Purpose of review: Kidney stones disease (KSD) and urinary tract infections (UTIs) can be associated and reciprocally causal. Aim of this study is to understand the association between stone-free rate and infection clearance or recurrence after surgery.

Recent findings: Studies are suggesting that removing stones may help to prevent UTIs. A systematic review was done to look at the relationship between UTIs and kidney stones and to find out whether stone removal surgery can help to reduce UTIs. The systematic review as done as per PRISMA checklist and three databases (Ovid MEDLINE, Cochrane Library and Embase) were searched for articles reporting on patients with recurrent UTIs and kidney stone surgery. All studies in English language were included with 1009 articles identified between 2000 and 2024.In the 10 studies finally selected, 1731 stones procedures were performed. Nine studies demonstrated a significant correlation between stone clearance and resolution of urinary tract infections.

Summary: Surgical management of kidney stones appears to play a significant role in reducing UTI recurrence among patients with recurrent infections. Achieving stone clearance is associated with a higher likelihood of infection resolution and prolongation of infection-free intervals postoperatively.

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手术切除肾结石是否有助于预防尿路感染的复发？系统回顾。

综述的目的：肾结石疾病（KSD）和尿路感染（uti）可能相关且互为因果。本研究的目的是了解结石清除率与手术后感染清除或复发之间的关系。最近的发现：研究表明，去除结石可能有助于预防尿路感染。一项系统的综述研究了尿路感染和肾结石之间的关系，并发现结石移除手术是否有助于减少尿路感染。根据PRISMA检查表和三个数据库（Ovid MEDLINE， Cochrane Library和Embase）检索了关于复发性尿路感染和肾结石手术患者的文章。所有的英语研究纳入了2000年至2024年间确定的1009篇文章。在最终选择的10项研究中，进行了1731例结石手术。九项研究表明，结石清除与尿路感染的解决之间存在显著相关性。总结：肾结石的手术治疗似乎在减少复发性感染患者尿路感染复发方面起着重要作用。实现结石清除与较高的感染解决可能性和术后无感染间隔的延长有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Urology 医学-泌尿学与肾脏学

CiteScore

5.00

自引率

4.00%

发文量

140

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Urology delivers a broad-based perspective on the most recent and most exciting developments in urology from across the world. Published bimonthly and featuring ten key topics – including focuses on prostate cancer, bladder cancer and minimally invasive urology – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.