Research Article

Percutaneous Nephrolithotomy Can Reduce the Incidence of Sepsis Compared with Flexible Ureteroscopy in Treating Solitary Proximal Ureteral Stone Patients with Positive Urine Culture

Table 1

Basic characteristics of including patients.

VariablesAll patients ()fURS ()PCNL () value

Age (years)0.074
Male, (%)588 (64.6)271 (65.8)317 (63.7)0.505
BMI (kg/m2)0.163

Preoperative urological condition, (%)
Hydronephrosis131 (14.4)34 (8.3)97 (19.5)<0.001
Indwelling stent63 (6.9)29 (7.0)34 (6.8)0.900

Stone characteristics
Stone size (mm)<0.001
Left side, (%)476 (52.3)208 (50.5)268 (53.8)0.317

Comorbidities, (%)
Diabetes74 (8.1)39 (9.5)35 (7.0)0.180
Coronary heart disease15 (1.6)6 (1.5)9 (1.8)0.679
Hypertension210 (23.1)90 (21.8)120 (24.1)0.422

Urine test
Urine WBC, median (IQR) (cells/hpf)52.0 (19.6-163.7)46.0 (17.1-127.4)59.0 (21.3-193.4)0.024
Positive urine nitrite, (%)55 (6.0)23 (5.6)32 (6.4)0.595
Positive urine culture, (%)100 (11.0)38 (9.2)62 (12.4)0.121

Hematological test (109cells/L)
Serum WBC0.164
Neutrophil0.169
Lymphocyte0.943

Biochemical test
Albumin (g/L)0.662
Globulin (g/L)0.061
AGR0.051
Creatinine, median (IQR) (μmoI/L)85.0 (69.0-108.0)83.0 (68.0-108.0)86.0 (70.0-109.0)0.680
Cholesterol (mmol/L)0.848

ASA, (%)0.150
I378 (41.5)157 (38.1)221 (44.4)
II510 (56.0)243 (59.0)267 (53.6)
III21 (2.3)12 (2.9)9 (1.8)
IV1 (0.1)0 (0.0)1 (0.2)
Operation time, median (IQR) (min)85.0 (66.0-110.0)72.5 (58.0-89.0)98.0 (78.0-120.0)<0.001
Postoperative sepsis, (%)46 (5.1)27 (6.6)19 (3.8)0.061