Recurrent urinary tract
infections (UTIs) present a significant problem for women and a challenge for the doctors who care for them.
Recurrent urinary tract infection (RUTI) is defined as three episodes of urinary tract infection (UTI) with 3 positive urine cultures in the previous 12 months or two episodes in the last six months.
Uncomplicated UTIs occur in patients with urinary tracts that are normal from both a structural and functional perspective.
Complicated or Recurrent UTIs occur in patients with any anatomic, structural or functional abnormality that compromises therapy.
A woman suffering from uncomplicated UTI should be informed about the possible recurrences and the relationship between UTI and sexual intercourse.
Get yourself examined properly by a urologist to look for any anatomical ,structural or functional abnormality.
The use of prophylactic antibiotics for six to 12 months is effective in reducing the number of recurrent UTI s . Postcoital prophylaxis is as effective as daily prophylaxis in young women but it should be offered to women who have UTI associated with sexual intercourse.
Sufficient fluid intake (at least two liters per day) and regular voiding is commonly believed to have a 'flushing' effect on the urinary tract.
Micturition after sexual intercourse is supposed to rinse bacteria from the bladder and thus prevent UTI.
Since damage to the physiological vaginal flora
facilitates UTI, exaggerated genital 'hygiene' (deodorant sprays, vaginal lotions or douching, etc) should be avoided.
If possible, other methods of contraception
should be used in preference to spermicidal or diaphragms
For frequently recurring UTI, different therapeutic/prophylactic regimens can be useful; if UTI episodes occur frequently after sexual intercourse, and if post-coital voiding is not successful, 100mg trimethoprim
can be taken after sexual intercourse ,Otherwise, therapy with 50 mg trimethoprim daily or 50 mg nitrofurantoin
daily for six months is effective and well tolerated .
Should frequent UTI
still occur after six months, this treatment can be continued for several years if necessary.
Continue taking Cranberry juice as it has been used to prevent urinary tract infections (UTIs). Cranberries contain a substance that can prevent bacteria from sticking on the walls of the bladder.
Consult a urologist
for the proper management of your UTI.