Safety of omitting antibiotic prophylaxis prior to Transurethral Lithotripsy (TUL)

Comparison of safety of omitting antibiotic prophylaxis prior to Transurethral Lithotripsy (TUL) in two groups of patients with and without positive urine culture referred to Razi Hospital in Rasht: a pilot study

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT20090427001853N17

Enrollment

Registered

2021-10-24

Start date

2021-10-31

Completion date

Unknown

Last updated

2021-11-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative complication. Other postprocedural complications and disorders of genitourinary system

Interventions

Intervention 1: Intervention group: Omitting prophylactic antibiotic therapy prior to Transurethral Lithotripsy (TUL) in patients with positive urine culture in whom routinely antibiotics are continue

Eligibility

Sex/Gender

All

Age

15 Years to 65 Years

Inclusion criteria

Inclusion criteria: Patients with lower and middle ureteral stones who are candidates for Transurethral Lithotripsy (TUL) Age between 15 and 65 years Patient consent to participate in the study

Exclusion criteria

Exclusion criteria: Upper urinary tract infection based on symptoms of fever, shivering, flank pain and leukocytosis Use of preoperative antibiotics Drug abuse Patients with single kidney Uncontrolled systemic diseases

Design outcomes

Primary

Measure	Time frame
Postoperative fever. Timepoint: After the operation until the time of discharge. Method of measurement: Examination.;Postoperative urinary tract infection. Timepoint: 48 hours after surgery. Method of measurement: Urine culture.;Postoperative complications. Timepoint: After the operation until the time of discharge. Method of measurement: Examination and laboratory tests.	—

Secondary

Measure	Time frame
Success rate (stone free rate). Timepoint: 1 month after surgery. Method of measurement: Sonography, CT-scan.;Operation time. Timepoint: From start to recovery. Method of measurement: Stopwatch.;Hospital stay. Timepoint: On the day of discharge. Method of measurement: Hospitalization days.;Analgesic use. Timepoint: After surgery, during the period of hospitalization. Method of measurement: Question from the patient, examination.;Readmission. Timepoint: Up to one month after surgery. Method of measurement: Question from the patient.	—

Measure

Time frame

Success rate (stone free rate). Timepoint: 1 month after surgery. Method of measurement: Sonography, CT-scan.;Operation time. Timepoint: From start to recovery. Method of measurement: Stopwatch.;Hospital stay. Timepoint: On the day of discharge. Method of measurement: Hospitalization days.;Analgesic use. Timepoint: After surgery, during the period of hospitalization. Method of measurement: Question from the patient, examination.;Readmission. Timepoint: Up to one month after surgery. Method of measurement: Question from the patient.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactReza Falahatkar

Rasht University of Medical Sciences

rfalahatkar76@gmail.com+98 13 3352 5259

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026