Association of Kidney Stones and Recurrent UTIs: the Chicken and Egg Situation. A Systematic Review of Literature.
Kidney calculi
Lithotripsy
Percutaneous nephrolithotomy
Recurrence
UTI
Ureteroscopy
Journal
Current urology reports
ISSN: 1534-6285
Titre abrégé: Curr Urol Rep
Pays: United States
ID NLM: 100900943
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
accepted:
07
06
2022
pubmed:
26
7
2022
medline:
24
9
2022
entrez:
25
7
2022
Statut:
ppublish
Résumé
Kidney stone disease (KSD) and recurrent urinary tract infections (rUTI) are frequently concomitant conditions. We conducted a systematic review to determine the association of UTI in patients with KSD and to assess the outcomes of kidney stone treatment in the resolution of rUTI. Our systematic review included 17 papers and a strong association between KSD and rUTI was demonstrated by numerous studies. Surgical clearance of kidney stones usually resulted in the resolution of UTI, but discordant data persist regarding recurrence rates after surgery. In vitro studies might unveil the causative role of bacteria in the formation of "metabolic" stones. Our SR clearly shows that UTI and KSD are mutually coexisting, and reciprocally causal and such patients should be counselled for proactive intervention by stone removal especially when UTIs are recurrent or additional risk factors are present irrespective of stone composition. To prevent further UTI episodes, if possible, a stone culture must be obtained for an effectively targeted antibiotic treatment regime tailored to bacterial prevalence.
Identifiants
pubmed: 35877059
doi: 10.1007/s11934-022-01103-y
pii: 10.1007/s11934-022-01103-y
pmc: PMC9492590
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
165-174Informations de copyright
© 2022. The Author(s).
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