The European Association of Urology has summarised its 2026 Urological Infections Guidelines, updated through structured literature appraisal with recommendations graded by benefit, harm, evidence certainty and patient preference.
The main changes are a restructuring of the whole guideline around the new UTI classification system, a new chapter on herpes simplex virus, a new chapter on fungal urinary tract infections, and updated evidence and recommendations on antibiotic prophylaxis for prostate biopsy. Antimicrobial stewardship runs through the recommendations on drug choice, dose and duration.
For most urologists the biopsy prophylaxis update and the fungal UTI chapter will have the most day-to-day effect, particularly in units seeing candiduria in catheterised and diabetic patients.
The summary does not give the detailed recommendations, so check the full guideline before changing local protocols.
- Review your prostate biopsy prophylaxis protocol against the updated recommendations.
- Align local UTI terminology with the new classification.
- Use the fungal UTI chapter for candiduria in catheterised patients.
- Keep antibiotic durations as short as the guideline supports.
Why it matters
A restructured classification and revised biopsy prophylaxis will change how many units write their infection protocols.
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