{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T23:36:55Z","timestamp":1759448215744,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T00:00:00Z","timestamp":1667347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Objective<\/jats:title><jats:p>Recurrent urinary tract infections (R\u2010UTIs) have a negative impact on quality of life and contribute to antimicrobial resistance. Long\u2010term antibiotic therapy is the main treatment alternative but, in some cases, this approach may not be accepted by the patient, is ineffective or poorly tolerated. In selected women, electrofulguration (EF) of trigonal lesions has been shown to reduce urinary tract infection (UTI) episodes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between August 2006 and December 2017, 73 women with R\u2010UTI had their data collected prospectively and analyzed. We evaluated the rate of UTIs during the initial 2 years of follow\u2010up after fulguration based on symptoms and a positive urine culture. All patients failed with multiple antibiotic courses and were offered endoscopic electrofulguration of the entire trigonal and bladder neck mucosa with a rollerball probe. We present our long\u2010term results using a strategy of complete fulguration of the trigone in women with R\u2010UTIs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age was 64 years (range: 17\u201376 years) and the median follow\u2010up time after EF was 4.2 years (range: 2.5\u201314 years). Overall, 70 patients (96%) remained free of UTI episodes during the first year of follow\u2010up, at 2 years of follow\u2010up, 57, 53% remained infection\u2010free. Currently, UTIs are typically sparse, mild, and caused by multisensitive bacteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Complete trigonal and bladder neck mucosal fulguration promoted a significant reduction of UTI episodes during the first 2 years of follow\u2010up. Prospective controlled studies are needed to determine the role of EF in women with R\u2010UTI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25066","type":"journal-article","created":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T12:29:27Z","timestamp":1667392167000},"page":"188-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Long\u2010term efficacy of complete trigonal electrofulguration for women with recurrent urinary tract infections"],"prefix":"10.1002","volume":"42","author":[{"given":"Leopoldo","family":"Ribeiro\u2010Filho","sequence":"first","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1364-5508","authenticated-orcid":false,"given":"Caio V.","family":"Suartz","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia D. 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F.","family":"Braz","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matheus","family":"Siqueira","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Hirasaki","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anuar I.","family":"Mitre","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8486-4003","authenticated-orcid":false,"given":"Cristiano M.","family":"Gomes","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William C.","family":"Nahas","sequence":"additional","affiliation":[{"name":"Division of Urology University of S\u00e3o Paulo School of Medicine Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,2]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"BonkatG BartolettiR Bruy\u00e9reF et al. EAU Guidelines on Urological Infections 2020. European Association of Urology Guidelines 2020 Edition. Presented at the EAU Annual Congress Amsterdam 2020. Arnhem The Netherland."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002860"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.3.331"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/159.3.400"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40121-014-0054-6"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14737167.2017.1359543"},{"issue":"2015","key":"e_1_2_9_8_1","first-page":"125","article-title":"Die cystitis trigoni der frau. zentralblatt fur die krankheiten der hahn und sexual organe, 16, 422\u2010433. quality of life: a prospective, observational study","volume":"4","author":"Heymann A","year":"1905","journal-title":"Infect Dis Ther"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12264"},{"key":"e_1_2_9_10_1","unstructured":"TinleyRE\u201cTrigonitis\u201d (1936). 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