None listed
Conditions
Brief summary
Our study aims to investigate the effectiveness of a medical procedure called diathermy of the trigone in alleviating symptoms related to recurrent urinary tract infections (UTIs). Performed by experienced urologist Dr. Dirk Drent, the diathermy procedure applies high-frequency electrical currents to generate heat, targeting specific areas in the bladder. We hypothesize that this intervention will significantly reduce the frequency of UTIs and improve overall bladder health in individuals who have been experiencing symptoms related to recurrent UTIs. This study involves a one-time intervention, and participants will be carefully monitored before and after the procedure to assess its impact on their symptoms. Our ultimate goal is to contribute valuable insights that may lead to improved outcomes and better quality of life for those dealing with recurrent UTIs.
Interventions
The intervention in our study involves the diathermy of the trigone procedure, administered by an experienced urologist, Dr. Dirk Drent. The procedure is a one-time intervention, initiated after an initial hour-long appointment with the urologist, encompassing a comprehensive assessment, including a medical history, clinical examination, bladder ultrasound, flow study, and post void residual volume measurement. During this appointment, details of the diathermy procedure are discussed thoroughly,
The intervention in our study involves the diathermy of the trigone procedure, administered by an experienced urologist, Dr. Dirk Drent. The procedure is a one-time intervention, initiated after an initial hour-long appointment with the urologist, encompassing a comprehensive assessment, including a medical history, clinical examination, bladder ultrasound, flow study, and post void residual volume measurement. During this appointment, details of the diathermy procedure are discussed thoroughly, allowing the patient to make an informed decision. If the patient opts for the intervention, they are scheduled for the procedure, which requires an approximately one-hour session and an overnight hospital stay for observation. A Coviden ValleyLab FT10 mono polar diathermy in used, initially on Cut (Pure, 20W, peak voltage 1287V) for removal of the lesions and followed by Coag (Fulgurate, 20W, peak voltage 3448V) for haemostasis. These two diathermy steps take a combined total of approximately 15minutes, Subsequently, an 8-week follow-up appointment lasting around 30 minutes involves additional assessments, including ultrasound, flow, residual volume measurement, and a urine dipstick test. One year post-procedure, patients complete a survey to evaluate the intervention's long-term outcomes. The intervention is provided individually, and informational materials are supplied to facilitate informed decision-making. During the process we will obtain consent to access the patient medical records and have contact with the patients GP to cross reference past medical history, positive urine tests and antibiotics courses/previous treatments.
Sponsors
Leandrie Young
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Women with symptoms of recurrent UTIs (three or more times in the last year) or persistent symptoms of bladder irritation. 2. Women with confirmed Trigone pathology (Squamous metaplasia, Cystitis Cystica, Cystitis Glandularis, or Follicular Cystitis) on Cystoscopy.
Exclusion criteria
1. Women with less than one year of follow-up. 2. Women found to have other potential causes for symptoms (e.g., kidney or bladder stones, bladder malignancy, vaginal infection, sexually transmitted infections, etc.).
Outcome results
None listed