Percutaneous Nephrolithotomy in Patients with Positive Urine Cultures: Do Complications Increase?/ Idrar Kulturu Pozitif Hastalarda Perkutan Nefrolitotomi: Komplikasyonlarda Artis Var mi?

Objective: Our aim in this study to determine whether positive urine culture is a risk factor for infectious complications in patients undergoing percutaneous nephrolithotomy (PNL). Materials and Methods: A total of 958 patients, who underwent PNL in our clinic between 2008 and 2015, were included in the study. The patients were divided into two groups with respect to preoperative urine culture results. Group 1 included 126 patients with nonsterile urine culture. As the control group, 130 patients were randomly selected among patients with preoperative negative urine culture and named as group 2. The groups were compared in terms of demographic data, postoperative complications and additional interventions. Results: The mean age was 51.4[+ or -]1.05 years in group 1 was and 48.7[+ or -]1.08 years in group 2. On postoperative 1st month computed tomography, postoperative residual stone fragments were observed in 27 patients (21%) in group 1 and 26 patients (20%) in group 2. The groups were similar in terms of treatment success (p=0.878). No significant difference was found between the groups in terms of postoperative fever (p=0.46), sepsis development and intensive care need (p=0.733). Conclusion: PNL would not increase infectious complications in patients with positive urine culture Keywords: Urolithiasis, Percutaneous nephrolithotomy, Urine culture Amaç: Bu çalismada amacimiz, PNL olan hastalarda pozitif idrar kültürünün enfeksiyöz komplikasyonlar açisindan risk faktörü olup olmadigini arastirmaktir. Gereç ve Yöntem: 2008-2015 yillari arasinda klinigimizde PNL olan 958 hasta çalismaya dahil edildi. Preoperatif idrar kültürü sonuçlarina göre hastalar iki gruba ayrildi. Kültüründe üreme saptanan 126 hasta grup 1 olarak adlandirildi. Kontrol grubu olarak 130 hasta idrar kültürü steril hastalar arasindan rastgele seçildi. Iki grup demografik veriler, postoperatif komplikasyonlar ve ek girisim gerekliligi açisindan karsilastirildi. Bulgular: Grup 1'deki hastalarin yas ortalamasi 51,4[+ or -]1,05, grup 2'deki hastalarin yas ortalamasi ise 48,7[+ or -]1,08 yildi. Postoperatif 1. ayda istenen bilgisayarli tomografide grup 1'de 27 hastada (%21), grup 2'de ise 26 hastada (%20) rezidü tas saptandi. Operasyon basarisi açisindan iki grup benzerdi (p=0,878). Yine gruplar arasinda Postoperatif ates (p=0,46), sepsis gelisimi ve yogun bakim ihtiyaci açisindan fark izlenmedi (p=0,46). Sonuç: Pozitif idrar kültürü olup da antibiyotik alirken yapilan PNL enfeksiyöz komplikasy