Dr. Joshua Sterling

So a culture afterwards, I think everyone gives, you know, 24 hours of antibiotics.

And then it's a bit of the wild, wild west again afterwards.

everyone wants their patients to do well and we kind of think of it as the downside risk of you know sprinkling a little prophylactic or treatment antibiotics for a little bit while they have extra tubes in beats having to go back to the operating room and i think that that fear and concern for patient really drives a lot of the practice and that and it's very difficult to to run a trial where you're like this might hurt you but we're gonna see what happens with it

And maybe, you know, they go back to their local urologist.

And so you never see it.

And you know you're going to see the patient that does have the problem because they get the wound infection for that.

And I know there's a couple of good papers out of Japan where they kind of put in strict protocols for who gets antibiotics and who doesn't.

And they saw actually a decrease in bacteria or antibiotic resistance from it.

Just kind of, you know, kind of shit.

I think it was a 25% drop in terms of super resistant common bacteria.

And so...

Yeah, you know, we don't think about that.

We don't think about what we're doing.

There's always another antibiotic until there isn't.

But it is definitely something we need to be more cognizant of and really need to be thinking about as reconstructive urologists and urologists in general.

But and that's kind of, you know, back to where we started this.

It was, you know, going down that that rabbit hole that I was like, you know, we really we really should be better about it.

It's not just reconstructive urologists.

I started talking to my pediatric colleagues about what they do, and they're kind of in the same boat.

It's like, you know, stents not so much, but a hypospadias repair, everyone gets antibiotics because they're concerned about that breakdown.