Recurrent Urinary Tract Infections
Recurrent urinary tract infections (UTIs) are a common problem for women, impacting their daily lives on a daily basis.
What is the definition of recurrent urinary tract infections (UTIs)?
A urinary tract infection occurs twice within a period of 6 months or three times within a period of 12 month.
What are the causes of recurrent urinary tract infections?
**Urinary tract abnormalities (bladder and ureters)
**Foreign bodies in the urinary tract (such as stones, tumors, catheters, etc.)
**Diabetes
**Weakened immunity
**Estrogen deficiency during menopause
**Urinary retention (inability to completely empty the bladder)
**Personal hygiene problems
**Sexual relationships with multiple partners
How is a urinary tract infection diagnosed?
**Based on symptoms (burning urination, blood in the urine, frequent urination, lower abdominal pain, fever, urinary tract discharge)
**Laboratory tests (urinalysis, urine culture, white blood cell count, blood inflammatory markers)
How are recurrent urinary tract infections treated?
** Identify the causes
** Prescribe an antibiotic appropriate for the type of bacteria present
**Drink adequate amounts of water
**Wipe the genital area from front to back, not the other way around.
**Use antibiotics during intercourse if the infection is found to be related to intercourse.
**Chronic, low-dose antibiotic use to prevent recurrence of the infection
**Topical estrogen use during menopause
**Cranberry extract use to adjust urine acidity
When is a cystoscopy performed?
If there is a suspicion of a foreign body in the bladder or a bladder tumor.
What happens if urinary tract infections are left untreated?
Bacteria may spread and cause pyelonephritis , affecting kidney function or leading to sepsis.
Dr Najeeb Layyous F.R.C.O.G
Consultant Obstetrician, Gynecologist and Infertility Specialist

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