{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:04:02Z","timestamp":1787807042945,"version":"build-2784847793"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"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":["Surgical Infections"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Robot-assisted radical prostatectomy (RARP) is a widely used minimally invasive procedure for the treatment of localized prostate cancer. Although pre-operative bacteriuria has been associated with post-operative infections after open prostatectomy, evidence in the RARP era remains limited. The clinical significance of post-operative bacteriuria also remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed the records of patients who underwent RARP at our institution between 2019 and 2025. Urinalysis and urine cultures were routinely performed pre-operatively and on post-operative day 4. Infectious complications, including surgical site and urinary tract infections, were assessed within 30 days of operation. We analyzed the association between peri-operative urinary findings and post-operative infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 257 patients, post-operative infections occurred in 11 cases (4.3%). Pre-operative pyuria was significantly more common in the infection group than in the non-infection group (18.2% vs. 3.7%, p = 0.049), whereas pre-operative bacteriuria was not. Post-operative bacteriuria was observed in 45.5% of infected cases compared with 3.3% of non-infected cases (p &lt; 0.001), whereas post-operative pyuria did not differ significantly between the groups. However, severe post-operative pyuria (&gt;50 white blood cells per high-power field) was more frequent in the bacteriuria-positive group than in the bacteriuria-negative group (46.2% vs. 4.1%, p &lt; 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Pre-operative bacteriuria was not associated with post-operative infections following RARP. In contrast, post-operative bacteriuria was strongly associated with infectious complications. These findings suggest that routine pre-operative urine cultures may be unnecessary in patients without symptoms. However, post-operative bacteriuria may indicate an increased risk of infection, and urine cultures should be considered, particularly in cases with severe pyuria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10962964261426877","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T06:14:09Z","timestamp":1772259249000},"page":"362-368","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Incidence and Predictors of Infection after Robot-Assisted Radical Prostatectomy: The Role of Peri-Operative Urine Culture"],"prefix":"10.1177","volume":"27","author":[{"given":"Takeru","family":"Fujimoto","sequence":"first","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshio","family":"Sugino","sequence":"additional","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Osaki","sequence":"additional","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuma","family":"Soya","sequence":"additional","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kana","family":"Kohashiguchi","sequence":"additional","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Iwamura","sequence":"additional","affiliation":[{"name":"Department of Urology, National Hospital Organization Himeji Medical Center, Himeji, 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