ArticleTranslational andrology and urology2025
The high-risk factors of urinary infectious stones: a retrospective study.
Article in Translational andrology and urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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6 authors.
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Abstract
Background: Urinary stones are a common condition with increasing prevalence worldwide. Predicting the type of urinary stones is essential for guiding treatment, yet complex imaging models are not always accessible. This study aims to identify simpler clinical predictors and explore the risk factors for infected urinary stones using statistical and receiver operating characteristic (ROC) analyses. Methods: A retrospective analysis was conducted on 1,067 patients with urinary stones who underwent surgical treatment between 2018 and 2023. Patients were classified into infected and non-infected stone groups based on stone composition. Logistic regression analysis adjusted for age, gender, body mass index (BMI), and serum electrolytes was performed to identify significant predictors, with sensitivity analyses using inverse probability weighting (IPW) to address cohort imbalance. The predictive performance of key factors was assessed using ROC curves. Results: Of the total cohort, 686 (64.3%) had infectious stones, and 381 (35.7%) had non-infectious stones. Infectious stones were more common in females, younger patients, and those with ureteral stones. Preoperative urine cultures revealed Conclusions: Alkaline urine pH and ureteral stone location are strong predictors of infected urinary stones, while diabetes status is less predictive. These findings highlight the importance of integrating simple clinical parameters to improve the preoperative assessment and management of patients with urinary stones, particularly in resource-limited settings.
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