Incidence of Urosepsis in Patients Undergoing Flexible Ureteroscopy

Abstract

Introduction: Urosepsis is a systemic response to and potentially life-threatening sequela of urogenital tract infection. Objectives: The main objective of the study is to find the incidence of urosepsis in patients undergoing flexible ureteroscopy. Material and methods: This cross sectional study was conducted in Fatima Jinnah Medical University during June 2021 to January 2022. 241 patients full filling the inclusion criteria was included through the Emergency / OPD of hospital. An informed consent was obtained from patients. Demographic data (Name, age, gender, and stone size) was recorded. Results: The data was collected from 241 patients. Out of 241 there were 118 males and 123 female patients. There was a significant difference in age between patients who developed sepsis and patients who did not develop sepsis. Patients who developed sepsis also had albumin concentrations <35 g/L, globulin concentrations ≥30 g/L, AGR <1.2, pre-operative fever, WBC count ≥10,000 cells/µL, pre-operative positive UC, positive urine WBC, and positive urine nitrite. Conclusion: It is concluded that patients with solitary proximal ureteral stones are more likely to have post-fURS sepsis when they have positive pre-operative UC or low pre-operative AGR.