{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:56:24Z","timestamp":1779382584657,"version":"3.53.1"},"reference-count":29,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the efficacy and postoperative infection rate of super mini percutaneous nephrolithotomy (SMP) and flexible ureteroscopic lithotripsy (FURL) in patients with diabetic nephrolithiasis and to explore the risk factors associated with postoperative infection following these two procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The medical history and surgery details of 252 patients with diabetic nephrolithiasis who underwent lithotripsy in our hospital between January 2018 and May 2023, including 144 SMP and 108 FURL, were reviewed and compared. Perioperative outcomes were compared between the two groups. Logistic regression was performed to identify the significant risk factors for infection after each procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      SMP achieved a higher stone-free rate (SFR) on postoperative day 1 and postoperative day 30 compared with FURL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). The mean operative time was shorter in SMP (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01). FURL was associated with less hemoglobin drop (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01) and shorter length of stay (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01). The incident rate of systemic inflammatory response syndrome (SIRS) was higher after SMP (p = 0.019), while the incident rate of urinary tract infection (UTI) was higher after FURL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.021). Overall postoperative infection and sepsis rates were similar between the two procedures. Logistic regression analysis revealed that gender odds ratio [OR]: 0.225, 95% confidence interval [CI]: 0.079\u20130.639), HbA1c (OR: 3.516, 95% CI: 1.841\u20136.716), and operation time (OR: 1.037, 95% CI: 1.008\u20131.066) were independent risk factors for infection after FURL, while operation time (OR: 1.063, 95% CI: 1.022\u20131.106) and HbA1c (OR: 7.443, 95% CI: 2.956\u201318.742) significantly predicted SMP-associated infections.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In diabetic patients, SMP demonstrated higher SFR and shorter operation time, whereas FURL was associated with less bleeding and shorter hospitalization. SMP had a higher incident rate of SIRS and FURL had a higher incident rate of UTI. Elevated HbA1c and prolonged operative duration increased infection risk after both procedures, while female gender was an additional risk factor for FURL-related infections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2024.0048","type":"journal-article","created":{"date-parts":[[2024,6,15]],"date-time":"2024-06-15T05:08:17Z","timestamp":1718428097000},"page":"1082-1091","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy and Postoperative Infection following Super Mini Percutaneous Nephrolithotomy\n                    <i>vs<\/i>\n                    Flexible Ureteroscopy for Diabetic Nephrolithiasis: A Comparative Analysis and Risk Factors for Postoperative Infectious Complications"],"prefix":"10.1177","volume":"38","author":[{"given":"Wei","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children\u2019s Hospital of Wenzhou Medical University, Wenzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangfang","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children\u2019s Hospital of Wenzhou Medical University, Wenzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yijun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, The Second Affiliated Hospital and Yuying Children\u2019s Hospital of Wenzhou Medical University, Wenzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children\u2019s Hospital of Wenzhou Medical University, Wenzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children\u2019s Hospital of Wenzhou Medical University, Wenzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Diagnosis, The Second Affiliated Hospital and Yuying Children\u2019s Hospital of Wenzhou Medical University, Wenzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2016.8"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-020-0320-7"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ma"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13242"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.20"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/4733329"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03860-w"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03150-x"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14427"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.8532"},{"issue":"4","key":"e_1_3_5_12_2","first-page":"643","article-title":"Risk factor analysis of systemic inflammatory response syndrome in type 2 diabetics after percutaneous nephrolithotomy","volume":"48","author":"Zhu ZJ","year":"2016","unstructured":"Zhu ZJ, , Xu QQ, , Huang XB, et al. 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