Atlantic Health System
The goal of this clinical trial is to evaluate if prophylactic antibiotics in urethral bulking are effective in reducing postprocedural urinary tract infections.
Urethral bulking is a minimally invasive surgical treatment option for stress urinary incontinence (SUI). One commonly reported post-procedural complication is urinary tract infection (UTI). UTI rates are variable where studies have reported rates from as low as 0% to as high as 40%. Along with this variability, the instructional inserts for various bulking agents have inconsistent recommendations for use of prophylactic antibiotics. The American Urologic Association recommends antimicrobial prophylaxis for cystourethroscopy procedures involving minor manipulation. Currently, there are no clea…
Inclusion Criteria: * Patients scheduled to undergo a urethral bulking procedure * Age 18 ≥ over Exclusion Criteria: * History of recurrent urinary tract infections * Known history of urinary retention * Allergies or contraindications to multiple antibiotics * Inability to tolerate oral antibiotics * Concomitant surgical procedures at the time of urethral bulking * Pregnant or breastfeeding
These participants will be given a single dose of an oral antibiotic prior to the procedure.
These participants will not be given an antibiotic prior to the procedure.
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