How do you prevent recurrent UTI?

  • Treat any underlying condition, if present.

 

  • General lifestyle advice including fluid management.

 

  • Antibiotic prophylaxis. Small dose of appropriate antibiotics for 3 to 6 months is safe and can be very effective to reduce UTI recurrence. If UTIs are related to sexual intercourse, a single dose of antibiotic after the intercourse can be taken instead.

 

 

 

 

 

Recurrent Urinary Tract Infections

 

 

Overview

Urinary tract infections (UTIs) are a very common urological problem affecting women more than men. It is estimated that approximately half of all women in UK will have UTI at least once in their life. The definition for recurrent UTI is either two proven infections within six months or three in a year.

 

The symptoms of UTI are typically that of cystitis including frequent urination, bladder pain, blood in urine and painful urination. However, it is very important to know that there are many other urological conditions cause similar symptoms to cystitis.

 

 

What are the risk factors for recurrent UTI?

Sometimes, there is no specific cause for recurrent UTI particularly in women. However the following risk factors increase the risk of recurrent UTI:

 

Both in women and men:

  • Diabetes.

 

  • Lack of adequate fluid intake.

 

  • Abnormalities of the renal tract such as having a urinary catheter in place,  stone disease, PUJ obstruction and vesico-ureteric reflux.

 

  • Immune compromise status.

 

  • History of urinary tract surgery.

     

In women:

  • Sexual intercourse (honeymoon cystitis).

 

  • Atrophic urethritis or vaginitis (postmenopausal).

 

  • Incomplete bladder emptying (e.g. from narrowing of the urethra or from bladder nerve damage).

 

  • Use of certain contraceptives such as diaphragms and spermicidal coated condoms.

     

In men:

  • Incomplete bladder emptying (e.g. from BPH or narrowing of the urethra from scar tissue).

 

  • Anal intercourse.

 

 

Assessment of recurrent UTI

It is important that every time you have symptoms of cystitis, you send a urine sample to the laboratory for culture to confirm the diagnosis and to help identifying the correct treatment.

 

Assessment of recurrent UTI involves a full medical history, examination and certain tests which may include:

 

 

  • Ultrasound scan.

 

 

 

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Private Secretary Contact

Debbie Coleman

KIMS Hospital

Newnham Court Way

Maidstone

Kent

ME14 5FT

Tel: 01622 538173

email: debbie.coleman@kims.org.uk

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