Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

154 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for recurring UTI with sepsis

Answered by
Dr. P. T. Patil


Practicing since :1971

Answered : 9884 Questions

Posted on Fri, 31 Mar 2017 in Urinary and Bladder Problems
Question: 65 year male patient suffering Urinary tract infection with sepsis.patient had also suffered with recurrent UTI in 2015 and as per KUB report - Hydronephrosis the patient prone for urinary tract infection.what could be the cause for current urinary tract infection.
Answered by Dr. P. T. Patil 13 hours later
Brief Answer:
Recurrent UTI with residual urine can be due to Bladder Neck Obstruction

Detailed Answer:
Thanks for query .

A 65 years old mn with history of recurrent episodes of UTI with nocturnal frequency (Nocturia) and significant Post Void Residual urine of 75 ml can be due Bladder Necck Obstruction and needs to be investigated.

Consult qualified Urologist for clinical and digital rectal examination and get following basic
tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
4) Endoscopic Examination of bladder (Cystoscopy)
5) Uroflowmetry.

Further treatment will depend upon result of these tests and final diagnosis.

If BNO is confirmed on cystoscopic examination he will need endoscopic surgery of Bladder Neck Incision (BNI) which will help to empty bladder completely and prevent getting UTI repeatedly

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. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Neck incision

doctor1 MD

I have previous history of recurrence UTI. I am continuously under treatment of fortis hospital XXXXXXX During infection my prostrate size incresed due to infection after consuming proper antibiotic size of prostrate gland became normal. PSA is...

doctor1 MD

Why is my husband having chronic stabbing pain on the left side after urinating it then goes to the groin bottom and testicles he has had a bladder neck incision and been suffering since three weeks after op

doctor1 MD

Dear Dr. Sir, I am 40 years old. I feel burning after urination for the last 4 years, feel delay start of urination and after urination slight dribbling . I consulted urologist . Urologist advised RUG and and they advised that my bladder neck elevated and mild prostate hyperplaslty and gave me urimax - D and advised that If it is not set right with Urimax-D, a small surgery is required. Still I feel above symptoms after using urimax. What can I do at this stage. Am I required to go for surgeory AAAAA from Vijayawada