Justification Of Urine Culture Before Transurethral Resection Of The Prostate Gland: Clinical Feasibility And Optimization Of Preoperative Preparation
Keywords:
transurethral resection of the prostate gland, microbiological culture of urine, asymptomatic bacteriuria, benign prostatic hyperplasia, antibiotic resistance, preoperative preparation, postoperative infectious complications, antibacterial prophylaxis.Abstract
In this work, the clinical expediency of conducting microbiological urine culture before transurethral resection of the prostate gland (TURP) was investigated in patients with benign prostatic hyperplasia. The study included 75 patients divided into two groups: the main group with urine culture and targeted antibacterial therapy, as well as a control group with empirical prophylaxis without pre-sowing. The data obtained showed a high incidence of asymptomatic bacteriuria (44.7%) and significant antibiotic resistance of microorganisms, mainly Escherichia coli. The use of seeding results made it possible to reduce the incidence of postoperative infectious complications from 24.3% to 7.9%, as well as reduce the duration of hospitalization and reduce the need for repeated therapy. The results of the study confirm the importance of microbiological control of urine as a key stage of preoperative preparation for TURP, which contributes to improving the safety of surgical treatment and improving clinical outcomes.
Downloads
Metrics
References
Hrbacek J., Chmelik J., Zachoval R. et al. Preoperative urine culture before transurethral resection of the prostate: is it always necessary? // Cent European J Urol. 2017. Vol. 70, № 1. P. 61–65.
Loeb S., Janiszewski A., Nam R.K. et al. Prevalence and significance of asymptomatic bacteriuria in patients undergoing urologic procedures // J Urol. 2019. Vol. 201, № 5. P. 937–944.
Naber K.G., Schito G.C., Botto H. et al. Antimicrobial resistance in urological infections: the global perspective // Eur Urol Suppl. 2018. Vol. 17, № 1. P. 13–21.
Roszdravnadzor. Национальный отчет по устойчивости микроорганизмов к антибиотикам в РФ. 2022. URL: http://roszdravnadzor.ru (дата обращения: 15.07.2025).
Stamm W.E. Urinary tract infections: epidemiology and risk factors // Infect Dis Clin North Am. 2018. Vol. 32, № 3. P. 481–490.
Wagenlehner F.M.E., Naber K.G. Treatment of bacterial urinary tract infections: presence and future // Eur Urol. 2020. Vol. 77, № 5. P. 618–632.
Schaeffer A.J., Nicolle L.E. Urinary tract infections in adults // Campbell-Walsh Urology. 12th edition. Elsevier. 2020. P. 785–827.
Bonkat G., Pickard R., Bartoletti R. et al. EAU Guidelines on Urological Infections 2022 // Eur Urol. 2022. Vol. 81, № 1. P. 13–24.
Cai T., Verze P., La Rocca R. et al. The role of urine culture before urological surgery: prospective study on 2000 patients // World J Urol. 2019. Vol. 37, № 4. P. 723–730.
Krieger J.N., Nyberg L., Nickel J.C. NIH consensus definition and classification of prostatitis // JAMA. 2019. Vol. 282, № 3. P. 236–237.
Guo Z., Zhang Q., Yan J. et al. Impact of preoperative urinary tract infection on outcomes of transurethral prostate surgery // J Clin Med. 2021. Vol. 10, № 9. P. 1982.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
