Expand+In Vivoiv.iiarjournals.orgIn Vivo September-October 2017 vol. 31 no. 5 931-936 Efficacy of N-acetylcysteine, D-mannose and Morinda citrifolia to Treat Recurrent Cystitis in Breast Cancer Survivals
- 17 April 2018
- journal article
- Published by International Institute of Anticancer Research in In Vivo
- Vol. 31 (5) , 931-936
Abstract
Background/Aim: Breast cancer survivors in adjuvant therapy, frequently experience the estrogen deficiency with genitourinary symptoms mostly represented by recurrent bacterial cystitis. The objective of the present study was to evaluate the effectiveness of N-acetylcysteine, D-mannose and Morinda citrifolia fruit extract (NDM), when associated to antibiotic therapy, in reducing the persistence of recurrent cystitis in this risk population. Patients and Methods: Sixty breast cancer survived women with recurrent cystitis were retrospectively examined. Group 1, comprised of 40 patients treated with antibiotic therapy associated with NDM lasting for six months, Group 2 comprised of 20 patients treated with antibiotics alone. Results: The use of NDM in combination with antibiotic therapy showed a significant reduction in positive urine cultures, compared to antibiotics alone. Subjects of Group 1 rather than those of Group 2, showed improvement in symptoms score of urgency, frequency, urge incontinence, recurrent cystitis, bladder and urethral pain. Conclusion: In breast cancer survived women affected by genitourinary discomfort, the combination of NDM and antibiotic therapy showed a greater efficacy in reducing urinary tract infections and urinary discomfort with respect to antibiotic use only.Keywords
This publication has 11 references indexed in Scilit:
- Utilization of gynecologic services in women with breast cancer receiving hormonal therapyAmerican Journal of Obstetrics and Gynecology, 2017
- Prospective study to compare antibiosis versus the association of N-acetylcysteine, D-mannose and Morinda citrifolia fruit extract in preventing urinary tract infections in patients submitted to urodynamic investigationArchivio Italiano di Urologia e Andrologia, 2017
- Genitourinary Syndrome of Menopause in Breast Cancer Survivors: Are We Facing New and Safe Hopes?Clinical Breast Cancer, 2015
- Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women's Sexual Health and The North American Menopause SocietyClimacteric, 2014
- d-mannose powder for prophylaxis of recurrent urinary tract infections in women: a randomized clinical trialWorld Journal of Urology, 2013
- Persister CellsAnnual Review of Microbiology, 2010
- Effects of human serum albumin, ibuprofen and N-acetyl-l-cysteine against biofilm formation by pathogenic Escherichia coli strainsJournal of Hospital Infection, 2010
- Anti-inflammatory and Potential Cancer Chemopreventive Constituents of the Fruits of Morinda citrifolia (Noni)Journal of Natural Products, 2007
- Effect of fosfomycin alone and in combination with N-acetylcysteine on E. coli biofilmsInternational Journal of Antimicrobial Agents, 2003
- An immunomodulatory polysaccharide-rich substance from the fruit juice of Morinda citrifolia (noni) with antitumour activityPhytotherapy Research, 1999