Cytoscopic Antibiotic Irrigant to Reduce Postoperative Urinary Tract Infection
| Status: | Recruiting |
|---|---|
| Conditions: | Other Indications, Infectious Disease, Urology, Urinary Tract Infections |
| Therapuetic Areas: | Immunology / Infectious Diseases, Nephrology / Urology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/30/2018 |
| Start Date: | April 2016 |
| End Date: | June 2019 |
| Contact: | Joseph Henderson, MD |
| Email: | joseph.henderson@uhhospitals.org |
| Phone: | (216) 778-5890 |
Cytoscopic Antibiotic Irrigant to Reduce Postoperative Urinary Infection: A Randomized Controlled Study
Postoperative urinary tract infections (UTIs) affect 20-30% of patients undergoing elective
gynecologic surgery and have a significant socioeconomic impact and cost. Preoperative
antibiotics, sterile operating techniques, postoperative antibiotic and non-antibiotic
medical therapies have been utilized to attempt to decrease this rate with little
improvement. Utilization of an intraoperative antibiotic cystoscopic irrigant may decrease
postoperative UTIs. The investigators have designed a prospective randomized controlled study
to evaluate the effectiveness of an antibiotic cystoscopic fluid in preventing postoperative
urinary tract infections in women undergoing elective pelvic floor surgery with cystoscopy.
gynecologic surgery and have a significant socioeconomic impact and cost. Preoperative
antibiotics, sterile operating techniques, postoperative antibiotic and non-antibiotic
medical therapies have been utilized to attempt to decrease this rate with little
improvement. Utilization of an intraoperative antibiotic cystoscopic irrigant may decrease
postoperative UTIs. The investigators have designed a prospective randomized controlled study
to evaluate the effectiveness of an antibiotic cystoscopic fluid in preventing postoperative
urinary tract infections in women undergoing elective pelvic floor surgery with cystoscopy.
Inclusion Criteria:
- Adult women at least 18 years of age
- Elective Female Pelvic Medicine and Reconstructive Surgery or Gynecologic Minimally
Invasive surgeries including hysterectomy, suburethral sling, and pelvic organ
prolapse repair that require cystoscopy.
Exclusion Criteria:
- Surgeries that include: intradetrusor Botox, vaginal mesh excision, and fistula repair
- Pregnancy
- History of nephrolithiasis
- Allergy to study medications
- Congenital urogenital anomaly
- Neurogenic bladder
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