July 10, 2026 · International urogynecology journal · DOI: 10.1007/s00192-026-06794-2

Outcomes of Long-Term Antibiotic Therapy in Women with Chronic Recalcitrant Cystitis

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The authors aimed to evaluate the effectiveness of long-term antibiotic therapy in improving patient-reported outcomes for women with chronic recalcitrant cystitis (CRC), a condition characterized by persistent lower urinary tract symptoms despite negative urine cultures. Their retrospective study found that 71.4% of participants adhered to the treatment, with significant improvements in urinary distress and pain coping reported after one year, suggesting that long-term antibiotics may benefit this patient population. However, the authors call for prospective studies to further clarify the role of antibiotics in managing CRC.

Yasir Bukhari, Robbie Kloosterman, Liam Doyle, Zikra Awosanmi, Dahlia Klein, Ryan Chow, Nucelio Lemos

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