AI Article Synopsis
- The study investigates the need for prophylactic antibiotics during cystomanometry to prevent urinary tract infections (UTIs) in patients with neurogenic bladder, as existing data on this topic is limited.
- It involved 100 patients at a neuro-urology center between February and March 2023, with follow-ups conducted via phone to assess UTI occurrence within 14 days after the procedure.
- Results showed an 11% UTI incidence post-cystomanometry without antibiotics, comparable to rates seen with antibiotic use, suggesting that such prophylactic therapy may not be necessary.
Article Abstract
Objective: The indication for prophylactic antibiotic therapy during cystomanometry to prevent urinary tract infection (UTI) has long been recommended. However, limited data support this approach. Our study aims to evaluate the incidence of UTIs following cystomanometry without prophylactic antibiotics in patients with neurogenic bladder.
Materials And Methods: This prospective, monocentric study was conducted from February 2023 to March 2023 at a specialized neuro-urology center, including all consecutive patients with lower urinary tract disorders of neurogenic origin referred for cystomanometry. The occurrence of UTIs following cystomanometry was assessed via telephone follow-up on day 14.
Results: A total of 100 patients were included, with a median age of 51years, with neurogenic bladder predominantly attributed to spinal cord injury (69/100). Ultimately, 11 patients reported UTIs within 14days post-cystomanometry, with only one being febrile, and none requiring hospitalization. No specific risk factors could be identified.
Conclusion: According to our study, the incidence of UTIs following cystomanometry without prophylactic antibiotic therapy is 11%, which is equivalent to the incidence with antibiotic prophylaxis. These preliminary results support the lack of benefit of peri-cystomanometry antibiotic therapy.
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| http://dx.doi.org/10.1016/j.fjurol.2024.102653 | DOI Listing |
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