Antibiotic prophylaxis in urodynamics: A systematic review of secondary studies.
Actas Urol Esp (Engl Ed)Apr 17, 2026 (epub)
Clinical ResearchUrology
L Castillo Carvajal, C A Zapata, E Corrales Acosta et al.
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In 30 seconds
This systematic review evaluated antibiotic prophylaxis recommendations for urodynamic procedures, analyzing four clinical practice guidelines, one meta-analysis, and one systematic review. It found that prophylactic antibiotics are not recommended for low-risk patients but may reduce asymptomatic bacteriuria and symptomatic UTIs in high-risk patients without increasing adverse events.
Key findings
- Antibiotic prophylaxis is not recommended for low-risk patients undergoing urodynamics.
- Prophylactic antibiotics may reduce asymptomatic bacteriuria and symptomatic UTIs in high-risk patients.
- Trimethoprim-sulfamethoxazole or fluoroquinolones are recommended for high-risk patients based on local resistance profiles.
Why it matters
Understanding the appropriate use of antibiotic prophylaxis in urodynamics is crucial for preventing unnecessary antibiotic use while effectively managing infection risks in high-risk patients.