Dr. Sumit M Chaudhari, a Consultant Urologist at Medicover Hospital in Pune, Maharashtra, has recently published a prospective cohort study detailing the complex factors driving recurrent gross hematuria following flexible ureterorenoscopy (URS/RIRS). The research explores the intersection of subcapsular renal hematomas, ureteral stent dwell times, and multidrug-resistant (MDR) Klebsiella pneumoniae infections. Through a detailed case study of a 35-year-old diabetic patient, Dr. Chaudhari emphasizes the importance of targeted antibiotics, image-guided percutaneous drainage, and selective segmental coil embolization to achieve durable resolution and preserve renal function. The findings highlight the need for clinicians to maintain vigilance for vascular injuries and consider timely stent removal when hematuria recurs despite appropriate antimicrobial therapy.
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