Evidence map›Paper›PMID 41728220›Full record

ArticleJU open plus2025

Bladder wall-embedded bacteria associated with increased risk of recurrence after electrofulguration in women with antibiotic-recalcitrant urinary tract infection.

Jashkaran G Gadhvi, Parker R M Kenee, Kevin C Lutz, Fatima Khan, Qiwei Li, Philippe E Zimmern, Nicole J De Nisco

Abstract read
In one paragraph

Article in JU open plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Review
  2. More than an infection: the ecological puzzle of recurrent urinary tract infections.Frontiers in cellular and infection microbiology · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jashkaran G GadhviDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX.
Parker R M KeneeThe University of Texas Southwestern Medical School, Dallas, TX.
Kevin C LutzDepartment of Mathematics, The University of Texas at Dallas, Richardson, TX.
Fatima KhanDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX.
Qiwei LiDepartment of Mathematics, The University of Texas at Dallas, Richardson, TX.
Philippe E ZimmernDepartment of Urology, The University of Texas Southwestern Medical Center, Dallas, TX.
Nicole J De NiscoDepartment of Biological Sciences, The University of Texas at Dallas, Richardson, TX.

Funding

Defining the dynamics of urobiome structure and function in postmenopausal women and its role in recurrent UTI susceptibilityR01DK131267 · NIDDK · UNIVERSITY OF TEXAS DALLAS · PI DE NISCO, NICOLE JANELL · 2021 to 2025
$1.5M
NIDDK NIH HHS R01 DK131267
6 · The paper itself

Abstract

Purpose: Antibiotic-recalcitrant recurrent urinary tract infection (rUTI) is increasingly observed in postmenopausal women. When standard therapies fail, some elect electrofulguration (EF) of areas of chronic cystitis detected on office cystoscopy. EF is thought to remove tissue-resident bacteria within the bladder walls of women with rUTI. We hypothesized that increased bladder wall bacterial burden may be associated with incomplete rUTI resolution following EF. Materials and Methods: Following IRB approval, bladder biopsies were obtained from 34 consenting menopausal women electing EF for the advanced management of rUTI. 16S rRNA FISH was performed using both universal and Results: We observed bladder wall-embedded Conclusions: We observed that total bladder wall bacterial burden was associated with a 3.1x increased risk of rUTI relapse within six months. Continued analysis of the relationship between bladder-embedded bacteria and rUTI outcomes may provide insight into the management of these challenging patients.

Indexed as

bladderelectrofulgurationFluorescence in situ hybridizationpostmenopausal womenrecurrent UTI

Identifiers

PMID41728220
PMCPMC12922592

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.