Antibiotic prophylaxis in surgical urology
The preventive prescription of antibiotics in case the surgery performed is justified both for clean and contaminated surgical procedures. Our study presents the method of perioperative prevention of postoperative infectious complications. Patients were divided into 3 groups. The first group included the patients with benign prostatic hyperplasia manifested by acute urinary retention and signs of chronic cystopyelonephritis who underwent TURP. The second group consisted of patients that underwent relatively clean surgeries like (ureterolithotomy or pyelolithotomy accompanied by calculous pyelonephritis in remission). The third group included patients that underwent clean surgeries (nephropexy). Each group was subsequently divided into two sub-groups: the main one, where Fosforal was prescribed to patients preoperatively and postoperatively, and control group that received antibacterial therapy. The efficacy was analyzed by the following: presence versus absence of purulent wound complications, infection exacerbation or septicemia progression. The results in main sub-groups demonstrated nearly total absence of postoperative complications. The analysis of the result of suboperative prevention of purulent complications demonstrated the high efficiency of Fosforal.