One pill before a bladder procedure might slash infection risk
NCT ID NCT07501065
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This study looks at whether giving women a single dose of antibiotics right before a clinic-based urethral bulking procedure (for stress incontinence) can lower their chance of getting a urinary tract infection afterward. About 150 women will be split into two groups: one gets the antibiotic, the other does not. Researchers will track infections for six weeks after the procedure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bactrim (sulfamethoxazole/trimethoprim) or Macrobid (nitrofurantoin)
- What this could lead to
- If it works, this could provide a simple way to reduce urinary tract infections after a common incontinence procedure.
- What could go wrong
- This is a small, early-phase study with only 150 participants, so results may not apply to everyone. Antibiotics can also cause side effects or contribute to antibiotic resistance.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women ≥ 18 years of age. * Patients evaluated by a pelvic floor specialist (either urogynecologist or urologist) at the University of Miami with plans to undergo urethral bulking with Bulkamid for stress urinary incontinence or mixed urinary incontinence (stress predominant). * Negative testing for UTI in pre-procedural work-up, including either negative urine culture or urine dip negative for infection (infection is defined as the presence of nitrites and/or pyuria with \>1+ leukocyte esterase on dipstick or \>5 WBC/HPF). * Post-void residual volume of 150 mL or less (measured by either catheterization or bladder scan) before the procedure * Fluent in English or Spanish * Able and willing to provide informed consent Exclusion Criteria: * Contraindications to both oral antibiotics including antibiotic allergies or significant renal disease (GFR \<30) * Patient undergoing additional pelvic organ prolapse procedures or other urologic procedures concomitantly that also involve insertion \[KB2.1\]of a foreign object * Recurrent UTIs, defined as 3 or more UTIs within the past 12 months or 2 UTIs within the past 6 months * Patients currently taking daily antibiotic prophylaxis for any reason * Patients with immunosuppression due to underlying medical conditions * Patients who are pregnant * Recent antibiotic treatment within one week of the procedure * Unable or unwilling to provide informed consent or complete study procedures
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Desai Sethi Urology Institute
RECRUITINGMiami, Florida, 33136, United States
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University of Miami Hospitals and Clinics
RECRUITINGMiami, Florida, 33136, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Shoes that train your pelvic floor without you knowing
- Gut bacteria transplant tested against Antibiotic-Resistant urinary infections
- Estrogen drop may hold clue to bladder leaks in women with spinal cord injury
- Bladder leaks may signal frailty in older adults
- Why do some complicated UTIs resist treatment? massive study aims to find out