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What causes repeated episodes of UTI secondary to post menopausal urethral stenosis?

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Posted on Wed, 20 May 2015
Question: Have had ongoing UTI - have had two 10-day rounds of antibiotics but after a few days, sx return. What might be causing this? 66y/o female
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Answered by Dr. P. T. Patil (1 hour later)
Brief Answer:
Repeated episodes of UTI secondary to Post Menopausal Urethral Stenosis.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have repeated episodes of UTI mostly secondary to what is called as Post Menopausal Urethral Stenosis.

After the menopause there is generalized atrophy of all the genital organs that also involves urethra resulting into narrowing of urethral passage what is called as Urethra Stenosis.

This narrowed urethra causes incomplete emptying of bladder while urinating that results in to some amount of urine remaining in bladder (Residual Urine) .This stagnated residual urine is the source of getting UTI.

Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Routine Urine test and Urine culture to find out the organisms causing this
infection and antibiotics to which they are sensitive to.
2) Ultrasound scanning of abdomen and pelvis.
3) Endoscopic examination of Bladder (Cystoscopy) and Urethral Calibration .

In the mean while take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute This will help to control dysuria.

The urethral calibration will dilate urethral passage .This will help to improve urine flow and to empty the bladder completely .

You will need to do self intermittent urethral Dilatation at home daily for 6 -8 weeks to keep the urethra dilated .This will solve your problem permanently.

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
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Answered by
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Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10367 Questions

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What causes repeated episodes of UTI secondary to post menopausal urethral stenosis?

Brief Answer: Repeated episodes of UTI secondary to Post Menopausal Urethral Stenosis. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have repeated episodes of UTI mostly secondary to what is called as Post Menopausal Urethral Stenosis. After the menopause there is generalized atrophy of all the genital organs that also involves urethra resulting into narrowing of urethral passage what is called as Urethra Stenosis. This narrowed urethra causes incomplete emptying of bladder while urinating that results in to some amount of urine remaining in bladder (Residual Urine) .This stagnated residual urine is the source of getting UTI. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Routine Urine test and Urine culture to find out the organisms causing this infection and antibiotics to which they are sensitive to. 2) Ultrasound scanning of abdomen and pelvis. 3) Endoscopic examination of Bladder (Cystoscopy) and Urethral Calibration . In the mean while take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute This will help to control dysuria. The urethral calibration will dilate urethral passage .This will help to improve urine flow and to empty the bladder completely . You will need to do self intermittent urethral Dilatation at home daily for 6 -8 weeks to keep the urethra dilated .This will solve your problem permanently. 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.