About this trial
Using a randomized 2 arm design, this study is being conducted to test for non-inferiority of no prophylactic antibiotic therapy versus the prophylactic oral antibiotic, nitrofurantoin, through comparison of rates of postoperative urinary tract infections within the 90-day postoperative period in patients with muscle invasive bladder cancer who undergo radical cystectomy with urinary diversion.
Eligibility criteria
Qualifiers
Presence of muscle invasive bladder cancer and planning to undergo radical cystectomy with either ileal conduit or neobladder diversion.
18 years of age or older
Disqualifiers
Currently receiving antimicrobials for active infection
Poor renal function with GFR < 30 ml/min
Allergy to nitrofurantoin and unable to take an alternative antibiotic (cephalexin, trimethoprim-sulfamethoxazole, or ciprofloxacin)
Pregnancy
Trial design
Treatments tested in this trial
- Prophylactic antibiotics postoperatively.