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Suggest Treatment For Recurrent UTI

Posted on Tue, 27 Jan 2015

Question: I have had reoccuring UTI's for about 6 - 8 months. I have been prescribed antibiotics of different kinds over this time. Recently referred to Urologist. Have had CAT scan. Showed no obvious cause. Also had ultrasound and nothing detected. My urologist is not available to speak with at this time. Have a cystoscopy booked for next week and am unable to speak with my doctor beforehand. I am concerned that as nothing was obvious in my scans, that perhaps it is likely that there is cancer present. If so would this have been evident in my CAT scan ? I have no bleeding, no pain and no irritation. Just seem to have infection after infection. Some urine samples tested show ecoli bacteria. Others show cause as contamination and not a true UTI. Would you please advise re liklihood of cancer. Could benign polyps be a cause of these continuious infections. Thank you for your assistance.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Recurrent UTI due to Post Menopausal Urethral Stenosis.

Detailed Answer:
Hello,

Thanks for your query, I have gone through your query and the CT scan reports.

Based on the facts that you have posted it appears that you are getting repeated episodes of UTI since couple of years.

In elderly females, after menopause there is generalized atrophy of all the genital organs which also involves urethra that results in narrowing of urethral passage called as Urethral Stenosis.

This stenosis causes incomplete emptying of bladder causing substantial amount of urine to remain in bladder (Residual Urine). This stagnated residual urine is the source of infection giving rise to recurrent UTI.

As regards your doubt about cancer of the bladder, I would like to state that painless gross hematuria is the presenting symptom of cancer of the bladder. Since your CT scan is absolutely normal you need not worry at all.

As you have planned for Cystoscopy your Urologist will do Urethral Calibration to widen the urethra. This will help you to empty your bladder completely and there by prevent getting recurrent UTI.

You will have to do self catheterization daily for couple of months to get permanent cure..

Hope I have answered your query, please feel free to ask if you have more questions.
I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Dr. P. T. Patil (8 hours later)

Much appreciated.
Thank you Dr XXXXXXX
Kind Regards XXXXXXX

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
POst Cystoscopic findings.

Detailed Answer:
Hello
Thanks for follow up.
Please go ahead and get your Cystoscopy done and post me findings and treatment suggested .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Hi again,

Yes I am scheduled for 13th XXXXXXX so I will certainly report back to you with the findings and suggested treatment.
Thank you again for your expertise.
Kind Regards XXXXXXX

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
O.K go ahead and get it done,

Detailed Answer:
Hello
Thanks for follow up.
Please go ahead and get the Cystoscopy done .You can explore doing Urethral Calibration simultaneously while doing Cystoscopy with your Urologist.

Please do write after the procedure is done.
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Dr. P. T. Patil (39 minutes later)

Hello again,
Yes I have made that suggestion upon your recommendation.
I will no doubt hear back from my Urologist soon.
Will advise you of the findings when procedure is done.
You have been most helpful and reassuring.
Much appreciated Dr XXXXXXX

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Thanks for appreciation.

Detailed Answer:
Hello
Thanks for appreciation of my suggestions.If you find time post your review about my suggestions on the forum of the Health Care Magic .
Thanks and Regards.
Dr.Patil.

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari