[Prevention using quinolones in transurethral surgery]

Abstract

Much controversy exists as to the benefit of antimicrobial prophylaxis in transurethral surgery. Any urinary tract infection should be treated before proceeding with a transurethral operation. There is growing evidence that antimicrobial prophylaxis is also beneficial in the case of preoperatively sterile urine. A single dose or short-term prophylaxis appears to be sufficient. As newer fluoroquinolones reach very high tissue concentrations, possess a suitable antimicrobial spectrum to cover most uropathogens and may also be administered orally, these new drugs represent an attractive choice for prophylaxis in transurethral surgery.