Evidence map›Paper›PMID 41882425›Full record

ArticleInternational urogynecology journal2026

Bacteriuria After Diagnostic Flexible Cystoscopy Without Antibiotic Prophylaxis: A Prospective Study.

Tsia-Shu Lo, Chean-Wen Li, Ai-Leen Ro, Chien Chien Yu, Tzu Hsiang Hsieh, Yi-Hao Lin Md

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tsia-Shu LoDivision of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, Taiwan, 333. 2378@cgmh.org.tw.ORCID http://orcid.org/0000-0002-3885-1359
Chean-Wen LiDepartment of Obstetrics and Gynecology, Sarawak General Hospital, Sarawak, Malaysia.
Ai-Leen RoDivision of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, Taiwan, 333.
Chien Chien YuDivision of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, Taiwan, 333.
Tzu Hsiang HsiehDivision of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, Taiwan, 333.
Yi-Hao Lin MdDivision of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan City, Taiwan, 333.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisFlexible cystoscopy is well tolerated by women. Reprocessing of cystoscopes requires sterilization or, at least, high-level disinfection (HLD). This study aims to assess the incidence of bacteriuria after flexible cystoscopy using ortho-phthalaldehyde HLD.

methodsThis is a prospective study. Seventy-eight women undergoing diagnostic outpatient flexible cystoscopy were included. Exclusion criteria were microbiologically confirmed or acute urinary tract infection, significant urethral stricture, and bleeding disorders. Cystoscopes were reprocessed using ortho-phthalaldehyde. Pre-cystoscopic urine cultures were obtained via catheterization 3-5 days prior. Post-cystoscopic urine cultures were obtained immediately after the procedure. No antibiotics prophylaxis.

resultsOne woman (1.3%) developed post-cystoscopy bacteriuria. The overall mean age was 58.7 ± 11.2 years; the mean BMI was 23.4 ± 3.3 kg/m

conclusionsThe incidence of bacteriuria following flexible cystoscopy was 1.3%. Ortho-phthalaldehyde is effective for HLD in flexible cystoscopy, provided robust rinsing, drying, and exposure-tracking protocols are maintained.

Indexed as

BacteriuriaCystoscopesCystoscopyDisinfectionAgedAntibiotic ProphylaxisFemaleHumansIncidenceMiddle AgedProspective StudiesBacteriuriaFlexible cystoscopyHigh-level disinfectionTransurethral catheterizationUrinary tract infection

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.