AI Article Synopsis
- The study aimed to assess the use, costs, and impacts of dextrose instillation during cystoscopy, focusing on urinary tract infection (UTI) rates and complications.
- A total of 63 patients were analyzed, with 20 receiving dextrose and 43 not, leading to no significant difference in UTI rates (15% vs. 23%) or complications between the groups.
- Dextrose, costing $2.18 per ampule, proved to be a safe and effective option for enhancing bladder visualization without increasing the risk of UTIs.
Article Abstract
Objective: To evaluate the use, cost, postoperative urinary tract infection (UTI) rates, and complications of dextrose instillation during cystoscopy.
Methods: The medical records of patients who underwent cystoscopy during pelvic reconstructive surgery between June 2016 and June 2017 were reviewed. Patients were divided into two groups: patients who had one ampule of dextrose 50% (D50) directly instilled and patients who did not have D50 instilled during cystoscopy. Preoperative demographics, UTI rates, and postoperative complications were compared. Pharmaceutical cost and availability were reported by the pharmacy at our institution.
Results: Out of 63 patients identified, dextrose instillation was used in 20 patients and no dextrose was used in 43 patients. Each ampule of D50 cost $2.18 and there were no problems with supply shortage. As D50 was directly instilled into the bladder, there was immediate visualization of ureteral efflux at the time of surgery. Three patients (15%) in the dextrose group and 10 patients (23%) in the nondextrose group developed postoperative UTIs. There was no statistically significant difference in postoperative UTI rates between the two groups (p = 0.43) and there were no differences in postoperative complications.
Conclusion: Dextrose is a safe, cost-effective, readily available agent that provides instantaneous visualization of ureteral efflux without an increased risk of postoperative UTI.
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| http://dx.doi.org/10.1016/j.urology.2018.05.025 | DOI Listing |
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