Additionally, a decreased need for long-term antibiotics was seen after electrofulguration in menopausal women<\/p>\n<\/h3>\n
By Lori Solomon HealthDay Reporter<\/b><\/p>\n
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FRIDAY, Oct. 13, 2023 (HealthDay News) — Electrofulguration is associated with durable clinical cure and improvement in women with antibiotic-resistant, recurrent urinary tract infections (UTIs), according to a study published in the October issue of The Journal of Urology<\/em>.<\/p>\n Shivani Gaitonde, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues report on long-term outcomes of electrofulguration. The analysis included 96 nonneurogenic women with three or more symptomatic recurrent UTIs and inflammatory lesions on cystoscopy who underwent electrofulguration (2006 to 2012).<\/p>\n The researchers found that prior to electrofulguration, 74 percent of participants used daily antibiotic suppression, 5 percent used postcoital prophylaxis, 14 percent used self-start therapy, and 7 percent were not on prophylaxis. During a median follow-up of 11 years, 72 percent of women were cured (zero to one UTIs\/year), 22 percent improved (more than one and less than three UTIs\/year), and 6 percent failed (three or more UTIs per year). There was a significant decrease seen in antibiotic usage after electrofulguration. Only 5 percent of women were on continuous antibiotics after electrofulguration versus 74 percent before electrofulguration. Repeat electrofulguration occurred in 19 percent of women.<\/p>\n “These findings demonstrate that electrofulguration provides a durable clinical cure that enables many postmenopausal women to remain UTI-free with minimal to no continued need for antibiotic therapy,” lead author Philippe Zimmern, M.D., from the John and Felecia Cain Center for Bladder Health at UT Southwestern, said in a statement. “Just as important, electrofulguration is a well-tolerated procedure. Given the rise in recurrent UTIs among an aging population and the growth in antibiotic-resistant bacteria, electrofulguration could help treat this condition much earlier in many patients and prevent the cascade of events leading to extensive lesions of cystitis.”<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n