Postoperative Complications

™ Haematuria occurs frequently for 1-2 days but almost never requires active intervention.

™ The incidence of urinary tract infections is between 5% and 15% and can be treated with antibiotics.

™ Fever due to bacteriaemia is described in 3%-5% of all patients.

™ The most common cause of postoperative fever or pain is an obstructive, non-stented ureter. Therefore, when drawing the decision between stenting or not, it should be kept in mind that the morbidity of urinary obstruction is higher than that of stenting. We still recommend stenting in any doubtful cases.

™ If obstruction is the reason for postoperative fever, a DJ-stent has to be inserted as soon as possible. If retrograde stenting is not possible, a percutaneous nephrostomy (PCN) has to be undertaken.

™ Ureteric strictures are long-term complications of traumatic procedures, perforations or inflammatory stone beds with an incidence less than 1%.

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Subject Index

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