Could Tissue-Zapping Procedure Be Non-Antibiotic Option for Recurrent UTIs?

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Could Tissue-Zapping Procedure Be Non-Antibiotic Option for Recurrent UTIs?
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FRIDAY, Oct. 13, 2023 (HealthDay News) -- For some older women, recurring urinary tract infections — and the antibiotics typically prescribed for them — become a fact of life, but a new study offers a novel treatment that may deliver relief.

Called electrofulguration, the minimally invasive procedure essentially zaps and eliminates inflamed, infected bladder tissue. In the study, it was found to be effective for a number of women plagued by the issue.

In this study, the researchers reviewed the medical records of 96 postmenopausal women treated with electrofulguration for recurrent urinary tract infections between 2006 and 2012. The concern about continuously or repeatedly taking antibiotics for the infections is that resistant strains of bacteria can build up over time, which can make UTIs even harder to treat. Sometimes that can lead to the dangerous blood infection known as sepsis. Sometimes, it requires surgical removal of the bladder, the researchers said.

After electrofulguration, doctors have a variety of tools to help prevent germs from re-entering the bladder, which can include hormone cream and probiotics, Zimmern said.Dr. Louis Kavoussi, chair of urology at Northwell Health in New Hyde Park, N.Y., had reservations about whether this type of procedure should be recommended to women over standard care.

“What happens if bacteria gets in, in the meantime while the coating is even weaker, then they get another infection, something called cluster infection,” Kavoussi said.

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