Page last updated: 2024-10-30

methenamine and Complication, Postoperative

methenamine has been researched along with Complication, Postoperative in 13 studies

Methenamine: An anti-infective agent most commonly used in the treatment of urinary tract infections. Its anti-infective action derives from the slow release of formaldehyde by hydrolysis at acidic pH. (From Martindale, The Extra Pharmacopoeia, 30th ed, p173)
hexamethylenetetramine : A polycyclic cage that is adamantane in which the carbon atoms at positions 1, 3, 5 and 7 are replaced by nitrogen atoms.

Research Excerpts

ExcerptRelevanceReference
"Prophylactic treatment with methenamine hippurate significantly reduces the incidence of postoperative bacteriuria and urinary tract infection."5.10Value of urinary prophylaxis with methenamine in gynecologic surgery. ( Guttu, K; Schiøtz, HA, 2002)

Research

Studies (13)

TimeframeStudies, this research(%)All Research%
pre-199010 (76.92)18.7374
1990's0 (0.00)18.2507
2000's3 (23.08)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Schiøtz, HA2
Guttu, K1
Sarioglu, S1
Celik, A1
Sakar, M1
Sonmez, D1
Tekis, D1
Tanbo, TG1
Olsen, JH1
Friis-Møller, A1
Jensen, SK1
Korner, B2
Hvidt, V1
Schönebeck, J1
Almgård, LE1
Boman, J1
Pedersen, FB1
Wesolowski, S1
Wencel, J1
Czaplicki, M1
Borkowski, A1
Senoh, K1
Iwatsubo, E1
Momose, S1
Sander, S1
Jakobsen, A1
Tyreman, NO1
Andersson, PO1
Kroon, L1
Orstam, S1
Knoff, T1
Genster, HG1
Madsen, PO1
Thomlinson, J1
Williams, JD1
Cope, E1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Efficacy and Cost-effectiveness of a 24-hour Course of metheNamine Hippurate for Preventing Post-Operative Urinary Tract Infection[NCT02358993]201 participants (Actual)Interventional2014-12-31Completed
Nitrofurantoin Administration for the Prevention of Short-Term Catheter Associated Urinary Tract Infection After Pelvic Surgery (NAUTICA): A Randomized Controlled Trial[NCT03287089]Phase 4164 participants (Actual)Interventional2017-09-29Completed
Reducing Postoperative Catheterization After Urogynecology Surgery: A Randomized Trial[NCT03009968]150 participants (Actual)Interventional2017-03-17Completed
Timing of Repeat Voiding Trials After Outpatient Pelvic Floor Surgery[NCT03048682]60 participants (Anticipated)Interventional2017-01-05Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Antibiotic Resistance of Culture-positive Symptomatic UTI

All patients who submit urine cultures that are positive will have sensitivities performed as per standard care. The prevalence of bacterial species and sensitivities will be collected (NCT02358993)
Timeframe: 3 weeks post-operative

InterventionParticipants (Count of Participants)
Methenamine0
Ciprofloxacin0

Number of Participants With Culture-positive Symptomatic UTI

All patients will be encouraged to submit urine cultures prior to treatment, but this is not always possible. Amongst patients who undergo urine culture as part of standard of care for UTI, the rate of positive cultures will be identified. (NCT02358993)
Timeframe: 3 weeks post-operative

InterventionParticipants (Count of Participants)
Methenamine5
Ciprofloxacin4

Rate of UTI Consistent With NHSN Criteria

We plan to analyze the prevalence of UTI in this population that meet the definitions of symptomatic UTI and catheter-associated UTI according to the National Healthcare Safety Network criteria. (NCT02358993)
Timeframe: 3 weeks post-operative

InterventionParticipants (Count of Participants)
Methenamine10
Ciprofloxacin6

Treatment of Clinically Suspected UTI - Per Protocol

This is defined as any symptomatic UTI requiring treatment with antibiotics as determined by the development of 2 or more of the following symptoms, in the absence of vaginal symptoms: urinary frequency; urinary urgency; dysuria; fever over 38oC/100.4oF; suprapubic, flank, or back pain; and/or chills. (NCT02358993)
Timeframe: 3 weeks post-operative

InterventionParticipants (Count of Participants)
Methenamine12
Ciprofloxacin12

Treatment of Clinically Suspected UTI - Using Intent to Treat Analysis

This is defined as any symptomatic UTI requiring treatment with antibiotics as determined by the development of 2 or more of the following symptoms, in the absence of vaginal symptoms: urinary frequency; urinary urgency; dysuria; fever over 38oC/100.4oF; suprapubic, flank, or back pain; and/or chills. (NCT02358993)
Timeframe: 3 weeks post-operative

InterventionParticipants (Count of Participants)
Methenamine13
Ciprofloxacin12

Medication Compliance

Compliance assessed by use of a medication diary during treatment period (NCT03287089)
Timeframe: within 30 days of surgery

Interventionratio (Mean)
Nitrofurantoin0.95
Placebo0.96

UTI

Number of participants with a urinary tract infection in the first 30 days following pelvic reconstructive surgery (NCT03287089)
Timeframe: within 30 days of surgery

InterventionParticipants (Count of Participants)
Nitrofurantoin15
Placebo14

Trials

8 trials available for methenamine and Complication, Postoperative

ArticleYear
Value of urinary prophylaxis with methenamine in gynecologic surgery.
    Acta obstetricia et gynecologica Scandinavica, 2002, Volume: 81, Issue:8

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Infective Agents, Urinary; Antibiotic Pro

2002
Value of urinary prophylaxis with methenamine in gynecologic surgery.
    Acta obstetricia et gynecologica Scandinavica, 2002, Volume: 81, Issue:8

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Infective Agents, Urinary; Antibiotic Pro

2002
Value of urinary prophylaxis with methenamine in gynecologic surgery.
    Acta obstetricia et gynecologica Scandinavica, 2002, Volume: 81, Issue:8

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Infective Agents, Urinary; Antibiotic Pro

2002
Value of urinary prophylaxis with methenamine in gynecologic surgery.
    Acta obstetricia et gynecologica Scandinavica, 2002, Volume: 81, Issue:8

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Anti-Infective Agents, Urinary; Antibiotic Pro

2002
Cefotaxime for prevention of infectious complications in bacteriuric men undergoing transurethral prostatic resection. A controlled comparison with methenamine.
    Scandinavian journal of urology and nephrology, 1983, Volume: 17, Issue:3

    Topics: Aged; Cefotaxime; Clinical Trials as Topic; Hippurates; Humans; Male; Methenamine; Middle Aged; Post

1983
Antibiotics to patients with urinary infections in connection with transurethral prostatectomy.
    Scandinavian journal of infectious diseases, 1980, Volume: 12, Issue:2

    Topics: Aged; Cefazolin; Cephalexin; Clinical Trials as Topic; Humans; Male; Methenamine; Postoperative Comp

1980
[Urinary tract infection after prostate surgery. A controlled, clinical-bacteriological comparison between methenamine hippurate (Haiprex) and phenylsalicylate methenamine preparations].
    Ugeskrift for laeger, 1977, Jun-06, Volume: 139, Issue:23

    Topics: Clinical Trials as Topic; Drug Combinations; Drug Evaluation; Humans; Male; Methenamine; Postoperati

1977
[Preventive Hiprex in urinary tract operations].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 1976, Jan-30, Volume: 96, Issue:3

    Topics: Aged; Clinical Trials as Topic; Hippurates; Humans; Male; Methenamine; Middle Aged; Postoperative Co

1976
Urinary tract infection after vaginal surgery. Effect of prophylactic treatment with methenamine hippurate.
    Acta obstetricia et gynecologica Scandinavica, 1986, Volume: 65, Issue:7

    Topics: Aged; Anti-Infective Agents, Urinary; Catheters, Indwelling; Clinical Trials as Topic; Female; Hippu

1986
[Methenamine hippurate. Short-term catheterization in gynecologic surgery. A double-blind comparison of Hiprex and placebo].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 1985, Mar-10, Volume: 105, Issue:7

    Topics: Adolescent; Adult; Aged; Anti-Infective Agents, Urinary; Bacteriuria; Clinical Trials as Topic; Doub

1985
Persistence of bacteriuria following gynaecological surgery: a trial of methenamine hippurate.
    British journal of urology, 1968, Volume: 40, Issue:4

    Topics: Bacteriuria; Clinical Trials as Topic; Female; Genital Diseases, Female; Humans; Hysterectomy; Methe

1968

Other Studies

5 other studies available for methenamine and Complication, Postoperative

ArticleYear
Methenamine silver staining quantitative digital histochemistry in chronic allograft nephropathy.
    Transplantation proceedings, 2004, Volume: 36, Issue:10

    Topics: Biopsy; Coloring Agents; Creatinine; Humans; Kidney Transplantation; Methenamine; Postoperative Comp

2004
Postoperative voiding, bacteriuria and urinary tract infection with Foley catheterization after gynecological surgery.
    Acta obstetricia et gynecologica Scandinavica, 2006, Volume: 85, Issue:4

    Topics: Anti-Infective Agents, Urinary; Bacteria; Clinical Trials as Topic; Female; Gynecologic Surgical Pro

2006
Postoperative voiding, bacteriuria and urinary tract infection with Foley catheterization after gynecological surgery.
    Acta obstetricia et gynecologica Scandinavica, 2006, Volume: 85, Issue:4

    Topics: Anti-Infective Agents, Urinary; Bacteria; Clinical Trials as Topic; Female; Gynecologic Surgical Pro

2006
Postoperative voiding, bacteriuria and urinary tract infection with Foley catheterization after gynecological surgery.
    Acta obstetricia et gynecologica Scandinavica, 2006, Volume: 85, Issue:4

    Topics: Anti-Infective Agents, Urinary; Bacteria; Clinical Trials as Topic; Female; Gynecologic Surgical Pro

2006
Postoperative voiding, bacteriuria and urinary tract infection with Foley catheterization after gynecological surgery.
    Acta obstetricia et gynecologica Scandinavica, 2006, Volume: 85, Issue:4

    Topics: Anti-Infective Agents, Urinary; Bacteria; Clinical Trials as Topic; Female; Gynecologic Surgical Pro

2006
Antibacterial prophylaxis in patients after prostatectomy.
    International urology and nephrology, 1977, Volume: 9, Issue:3

    Topics: Aged; Bacterial Infections; Chloramphenicol; Enterobacteriaceae Infections; Escherichia coli Infecti

1977
Followup study after conservative and surgical treatment of vesicoureteral reflux.
    The Journal of urology, 1978, Volume: 119, Issue:2

    Topics: Adolescent; Adult; Blood Sedimentation; Child; Child, Preschool; Dilatation, Pathologic; Female; Fol

1978
Urinary tract infections following transurethral prostatectomy: with special reference to the use of antimicrobials.
    The Journal of urology, 1970, Volume: 104, Issue:1

    Topics: Aged; Ampicillin; Anti-Bacterial Agents; Anti-Infective Agents, Urinary; Bacteria; Bacteriuria; Ceph

1970