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Disposable Cystoscopes Do Not Decrease Post Renal Transplant Stent Removal Symptomatic Infection Rates.

Neda Qosja1, Laura E Geldmaker2, Vartika Tiwari1

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Summary
This summary is machine-generated.

The use of disposable cystoscopes did not reduce symptomatic urinary tract infections (UTI) after renal transplant stent removal. Rates of UTI remained similar between reusable and disposable cystoscope use in this study.

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Area of Science:

  • Urology
  • Nephrology
  • Infectious Diseases

Background:

  • Urinary tract infections (UTI) are a potential complication following cystoscopic procedures.
  • Renal transplant recipients may be at increased risk for post-procedural infections.

Purpose of the Study:

  • To assess the impact of switching from reusable to disposable cystoscopes on symptomatic UTI rates.
  • To determine if disposable cystoscopes reduce infection risk after renal transplant stent removal.

Main Methods:

  • Retrospective study of 323 patients undergoing post-renal transplant cystoscopic stent removal (March 2019-March 2022).
  • Clinic transitioned to disposable cystoscopes in October 2021.
  • Symptomatic UTI defined as fever, dysuria, or hematuria with positive urine culture; outcomes reviewed for 30 days post-procedure.

Main Results:

  • 1.6% (2/123) of patients using reusable cystoscopes developed symptomatic UTI (E. coli, Klebsiella).
  • 2.0% (4/200) of patients using disposable cystoscopes developed symptomatic UTI (E. coli, Klebsiella, Enterococcus).
  • No statistically significant difference in symptomatic UTI rates observed between the two cystoscope types.

Conclusions:

  • Conversion to disposable cystoscopes did not decrease the incidence of symptomatic UTI after renal transplant stent removal.
  • Further research may be needed to explore other factors influencing post-procedural infections.