[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-461165-105":59,"doc-detail-461165-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","preoperative-urine-testing-in-elective-endourology-procedures-is-a-change-in-practice-the-need-of-the-hour","Preoperative Urine Testing in Elective Endourology Procedures - Is a Change in Practice the Need of the Hour?","","Preoperative urine testing is routinely performed before elective endourology procedures to detect and treat asymptomatic bacteriuria, aiming to prevent postoperative urinary tract infections. Current practice may contribute to overtreatment, antibiotic overuse, and avoidable cancellation of elective operations. A retrospective study evaluated 100 patients undergoing elective endourology surgery at hospitals in Wales, with follow-up for two weeks to assess septic complications, infection rates, and the appropriateness of culture timing and prophylaxis. Results and conclusions support revisiting routine treatment and adopting targeted prophylaxis for higher-risk patients.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/preoperative-urine-testing-in-elective-endourology-procedures-is-a-change-in-practice-the-need-of-the-hour/461165/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/preoperative-urine-testing-in-elective-endourology-procedures-is-a-change-in-practice-the-need-of-the-hour/461165.png","ImageObject",300,407,{"name":92,"@type":93},"Pentious","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is preoperative urine testing done before elective endourology procedures?","Question",{"text":112,"@type":113},"It is performed to identify asymptomatic bacteriuria so it can be treated and postoperative infections can be reduced.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What did the study assess in patients undergoing elective endourology surgery?",{"text":117,"@type":113},"It assessed the timing of preoperative urine testing and followed patients for two weeks to evaluate postoperative septic complications and postoperative infection rates.",{"name":119,"@type":110,"acceptedAnswer":120},"What is the main conclusion about treating asymptomatic bacteriuria?",{"text":121,"@type":113},"Routine treatment for all patients should be revisited due to antibiotic resistance and stewardship goals, with targeted perioperative prophylaxis for those at highest risk.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},461165,1791042320,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},1374404730887,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Review began 11/28/2025  \nReview ended 12/06/2025  \nPublished 12/10/2025  \n© Copyright 2025  \nSugathan Sheela et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98888  \nOpen Access Original Article  \nPreoperative Urine Testing in Elective Endourology Procedures: Is a Change in Practice the Need of the Hour?  \nChithra Sugathan Sheela 1, Rebecca Saunders 1  \n1. Urology, Royal Gwent Hospital, Newport, GBR  \nCorresponding author: Chithra Sugathan Sheela, [chits86@yahoo.com](chits86@yahoo.com)  \nAbstract  \nIntroduction  \nUrine testing is routinely done preoperatively in patients undergoing elective endourology procedures to ensure that any asymptomatic bacteriuria is picked up and treated. This practice, in addition to leading to overtreatment, can also lead to unnecessary cancellations of elective procedures. With the emergence of multidrug-resistant bacteria and the implementation of stricter antibiotic stewardship programmes, it is the need of the hour to re-examine this innocuous practice.  \nPatients and methods  \nOne hundred patients undergoing elective endourology surgery were studied retrospectively to assess current practice at a district and general hospital in Wales, UK. All patients received a single dose of intraoperative antibiotic at induction. These patients were followed up for two weeks to look for postoperative septic complications.  \nResults  \nOf the 100 patients, 15% had cultures done in the stipulated 2-week period preceding surgery. Seven patients (7%) developed postoperative UTIs, of which none became acutely unwell. Of the six patients with preoperative positive cultures, none developed symptomatic UTIs post-op. Only upper tract stone surgeries were managed with a preoperative antibiotic course prior to surgery.  \nConclusions  \nIn the era of emerging antibiotic resistance and stricter antibiotic stewardship programmes, the routine practice of treating asymptomatic bacteriuria in all patients undergoing endourology surgery needs revisiting. There is an urgent need to identify the subset of patients most at risk for post-op septic complications and use targeted perioperative antibiotic prophylaxis to overcome this risk.  \nCategories: Urology, Quality Improvement, Infectious Disease  \nKeywords: complications, endourology, post op infection, urine culture, urine testing  \nIntroduction  \nAsymptomatic bacteriuria(ASB) is defined as the presence of positive urine cultures in the absence of any symptoms of a urinary tract infection (UTI) . It is common in the general population, with estimates being upto 5% in healthy premenopausal women and going up to 40-80% in those aged >80 years. Women tend to have a greater chance of ASB irrespective of age group [1] . However, a majority of this does not lead to adverse consequences. Patients with indwelling catheters are more likely to have ASB owing to colonisation of the foreign bodies by organisms. In fact, it is estimated that in patients with an indwelling catheter >28  \ndays, 100% will grow organisms in urine [2] .  \nIt is recommended that asymptomatic bacteriuria be treated in individuals who stand to benefit the most from treatment. This includes pregnant women, patients undergoing urology procedures that breach the mucosa, and renal transplant recipients in the first three months post-transplant [1] . However, the timing of this culture and the duration of antibiotic use is not specified. French Urology guidelines recommend that the culture be done 2 weeks prior to planned surgery and ASB be treated with antibiotics 48 hrs prior to the procedure, along with a one-off antibiotic at induction [3] . Thus, the urine culture aids treatment as well as targeted prophylaxis at the time of surgery.  \nPositive urine cultures constituted one of the maj","cbCaijBzicZTO8s6","https://ap.wps.com/l/cbCaijBzicZTO8s6","pdf",118952,"English","# Introduction\n# Patients and methods\n# Results\n# Conclusions\n# Materials And Methods","[{\"question\":\"Why is preoperative urine testing done before elective endourology procedures?\",\"answer\":\"It is performed to identify asymptomatic bacteriuria so it can be treated and postoperative infections can be reduced.\"},{\"question\":\"What did the study assess in patients undergoing elective endourology surgery?\",\"answer\":\"It assessed the timing of preoperative urine testing and followed patients for two weeks to evaluate postoperative septic complications and postoperative infection rates.\"},{\"question\":\"What is the main conclusion about treating asymptomatic bacteriuria?\",\"answer\":\"Routine treatment for all patients should be revisited due to antibiotic resistance and stewardship goals, with targeted perioperative prophylaxis for those at highest risk.\"}]","Preoperative Urine Testing in Elective Endourology Procedures - Is a Change in Practice the Need of the Hour? | PDF",1790760786,13]