Evidence map›Paper›PMID 40507677›Full record

ReviewJournal of clinical medicine2025

Antibiotic Prophylaxis After Urethroplasty: A Review of the Literature.

Ellen M Cahill, Hiren V Patel, George E Koch, Joshua Sterling

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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.

Ellen M CahillDepartment of Urology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0003-0459-534X
Hiren V PatelDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.ORCID 0000-0002-6475-670X
George E KochDepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.ORCID 0000-0001-8978-9287
Joshua SterlingDepartment of Urology, Yale University School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0002-7097-6485

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urethroplasty is a highly effective surgical treatment for urethral stricture disease. While overall complication rates are low, surgical site infections and urinary tract infections (UTIs) represent the most common complications. Due to the prolonged need for catheterization following reconstruction, many urologists place patients on extended antibiotic prophylaxis postoperatively. However, antibiotic stewardship is important given the risks of antibiotic overuse including opportunistic infections and the emergence of multidrug-resistant organisms. There are currently no established guidelines for the management of antibiotics for patients undergoing urethroplasty, specifically with regard to postoperative prophylaxis through the time of foley catheter removal. In this review, we examine the current literature regarding antibiotic prophylaxis and urethroplasty. Research has shown no clear benefit for extended antibiotic prophylaxis in preventing symptomatic urinary tract infections or stricture recurrence. This is congruent with evidence from other urologic procedures requiring indwelling catheters and/or stents including radical prostatectomy, hypospadias repair, and pyeloplasty. Prospective, randomized trials are needed to further understand the impact of antibiotic prophylaxis on both urethroplasty outcomes and its broader impact on recurrent UTIs and microbial resistance.

Indexed as

antibiotic prophylaxisfoley catheterhypospadias repairpyeloplastyradical prostatectomyurethral reconstructionurethral strictureurethroplasty

Identifiers

PMID40507677
PMCPMC12156196

What OpenQuestion holds

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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 OpenQuestion graph.