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Phase 2 N=185 Randomized Quadruple-blind Prevention

Urinary Track Infection Prevention After Urogynecological Surgery

Urinary Tract Infections · Urinary Retention Postoperative · Pelvic Organ Prolapse

Enrolled (actual)
185
Serious AEs
0.0%
Results posted
Nov 2022
Primary outcome: Primary: Incidence of Urinary Track Infection (UTI) — 62; 71 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Methenamine Hippurate 1 g tablet (Drug); Placebo tablet (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
TriHealth Inc.
Primary completion
Jul 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Incidence of Urinary Track Infection (UTI)
62; 71

Summary

This study is randomized double-blinded placebo-controlled trial to access oral Methenamine Hippurate (MH) in combination with cranberry capsules is superior to cranberry capsules alone in prevention of UTI in patients with transient post-operative urinary retention requiring a Foley catheter after pelvic reconstructive surgery.

Eligibility Criteria

Inclusion Criteria

  • Patients who undergo major pelvic organ prolapse surgery that are diagnosed with POUR via failed retrograde void trial and require an indwelling Foley catheter upon hospital discharge.

Exclusion Criteria

  • Unwillingness to participate in the study
  • Inability to understand English
  • Pregnant women
  • Patient personal history of nephrolithiasis, urogenital anomaly, neurogenic bladder, chronic renal insufficiency (GFR 1.03 for >3months), sarcoidosis, and severe hepatic insufficiency
  • Currently (prior 3 months) undergoing medical management for recurrent UTI or interstitial cystitis
  • Active urinary tract infection
  • Patient history of taking Warfarin (Coumadin)
  • Intraoperative bladder injury or cystotomy
  • Physical or mental impairment that would affect the subject's ability to take medications daily or fill out questionnaires
  • Reported allergy to any of the ingredients in the cranberry, MH, or placebo pill
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03818321). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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