Systematic review: bacterial colonisation of conduits and neobladders-when to test, watch, and treat.

Liang G Qu, Ahmed Adam, Weranja Ranasinghe, Nathan Lawrentschuk

Abstract readSystematic Review

In one paragraph

Synthesis in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it

0cells of the map it votes in

4citing papers in PubMed

0.5field-weighted citation impact, top 32% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

Impact of SGLT2 inhibitors on urinary tract infections in patients with diabetes mellitus and ileal urinary diversion: a retrospective cohort study.International urology and nephrology · 2026
Article
Massive bleeding from a Bricker ileal conduit during FOLFIRINOX therapy in noncirrhotic portal hypertension: suspected oxaliplatin-associated sinusoidal injury and presumed irinotecan-associated conduit mucositis: a case report.BMC urology · 2026
Article
Urine culture-guided antibiotic prophylaxis reduces febrile pyelonephritis after ureteral stent removal following radical cystectomy.World journal of urology · 2026
Article
Multicentre, open-label, phase IV, randomised trial testing superiority of individualised targeted antibiotic prophylaxis over empiric prophylaxis at ureteral stent removal following cystectomy: study protocol for the REINFORCE trial.Trials · 2025
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 3 countries.

Liang G QuDepartment of Surgery, Austin Health, University of Melbourne, Melbourne, Australia. liang.qu@austin.org.au.ORCID http://orcid.org/0000-0002-5710-1983

Ahmed AdamDivision of Urology, University of the Witwatersrand, Johannesburg, South Africa.

Weranja RanasingheUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA.

Nathan LawrentschukDepartment of Surgery, Austin Health, University of Melbourne, Melbourne, Australia.

Prostate Cancer Foundation of Australia · AUThe University of Melbourne · AUThe University of Texas MD Anderson Cancer Center · USUniversity of the Witwatersrand · ZA

Funding

Epworth Medical Foundation Epworth Medical FoundationVictor Smorgon Charitable Fund Victor Smorgon Charitable Fund

6 · The paper itself

Abstract

backgroundUrinary diversion procedures frequently result in bacterial colonisation. There is an increased incidence of developing urinary tract infections (UTIs) in this patient population. Current guidelines, however, recommend against treating this colonisation. This systematic review aimed to determine when and how to test, monitor, and treat bacteriuria in patients with urinary diversion.

methodsA systematic search strategy was conducted based on keywords "urinary diversion" and "bacteriuria", on MEDLINE, Embase, and Google Scholar. Articles were screened and included only if they reported on (i) testing methods for bacteriuria, (ii) surveillance of bacteriuria over time, or (iii) when and how to treat bacteriuria. Results were summarised and reported using a narrative synthesis.

resultsAltogether, 26 studies were included in this review. Inconsistencies were noted in the definitions of bacteriuria, with most studies reporting bacteriuria as > 10

conclusionsWe recommend consistent reporting of bacteriuria definitions, the benefits of monitoring bacteriuria over time, and use of short-term antimicrobial therapy; bacteriuria should not be treated with long-term therapy.

Indexed as

BacteriaBacteriuriaHumansPostoperative ComplicationsUrinary DiversionUrinary Reservoirs, ContinentUrinary Tract InfectionsBacterial colonisationBacteriuriaSurveillanceUrinary diversion

Identifiers

PMID31560122

DOI10.1007/s00345-019-02964-8

OpenAlexW2976595244

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.