Download Recurrent Bladder Infections in Females

Dr. Kenneth S. Poon MD Inc., FRCS (C)
metrovanurology.com
#650 – 6091 Gilbert Road
Richmond, B.C. V7C 5L9
Tel: 604 273 4320 (24 hrs)
Fax: 604 273 7599
General office email: [email protected]
Dr. Kenneth S. Poon MD Inc., FRCS (C)
Recurrent Bladder Infections in Females
#650 – 6091 Gilbert Road
Richmond, B.C. V7C 5L9
Tel: 604 273 4320 (24 hrs)
Fax: 604 273 7599
Definitions
General office email: [email protected]
Information
Urinary Tract Infection (UTI) = infection of bladder +/- kidney
for Patients
Acute bacterial cystitis (ABC) = bladder infection
Diagnosis: Need 3 Things
Pyelonephritis = kidney infection
SYMPTOMS
Fast Facts
metrovanurology.com
• 1 in 2 women have a UTI in their lifetime
• 1 in 5 women with UTI have more than 2 per year
URINE
Dr. Kenneth
S. Poon WBC
MD Inc., FRCS (C)
Patient
card
• Almost always ascending – bacteria enter
via the urethra
IN URINE
CULTURE
Private email: [email protected]
• ABC not harmful unless they lead to a kidney infection
• Risks:metrovanurology.com
very young age, menopause, intercourse
#650 – 6091 Gilbert Road
Tel: 604 273 4320 (24 hrs)
Richmond,
B.C. V7C 5L9
Fax: 604 273 7599
• UTI’s rarely result from a tight urethra (‘urethral
stenosis’)
• ‘Sticky’ vaginal and bladder mucosa is a major risk – e.g.
Dr. Kenneth S. Poon MD Inc., FRCS (C)
Type O blood group
Private email: [email protected]
Maintaining a healthy vaginal ‘ecosystem’ is critical to preventing recurrences – this means
probiotics and using vaginal estrogen in some cases.
Your next
Antibiotics destroy both the bad and the good bacteria
– probiotics and vaginal estrogen (in
appointment is:
select cases) may help re-establish the flora.
#650 – 6091 Gilbertcarefully
Road
Tel:
604 273antibiotics,
4320 (24 hrs)
choosing
taking
Richmond, B.C. V7C 5L9
Fax: 604 273 7599
Infections can be treated but recurrences are common. While recurrences can’t always
be prevented, the frequency and severity of infections can be reduced significantly
Your next
appointment is:
At:
PREVENTION
At:
TREATMENT
AM / PM
PROBIOTICS: Lactobacillus rhamnosus
Self-Start Antibiotics: take if symptoms of
GR1, L. reuteri RC14, L. crispatus
infection occur
• take by mouth AND place in vagina • who: women with recurrent UTI that
for vaginal use, you can cut off the end
have identifiable symptoms
of a gel-cap and
• take as directed when you have
AMinsert
/ PMthe capsule
with lubricant or purchase Purfem
symptoms – usually 3 days of treatment
which is designed for vaginal use
• always see a doctor if you have fever or
• take 1-2 per day while on antibiotics
symptoms don’t improve after 3 days
for any reason and for 5 days after
completion of the antibiotics
Prophylactic Antibiotics: 2 options
Cranberry extract*: proanthrocyanidins –
• pericoital: take a single dose before or
Ellura (www.myellura.com)
after intercourse
D-mannose*
• regularly: take daily or every couple
Vaginal Estrogen: Premarin, Vagifem
days
Avoid constipation^: bran buds, fruits and
vegetables, Restoralax
Anti-inflammatories: Ibuprofen/Advil
Other*: urinate after intercourse, wipe the
anus front to back
* evidence for intervention weak but not harmful and may be helpful; ^ bran buds + 1/3 cup of water;
beans, whole grains, apples, pears, prunes and berries
This information is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your
health care needs. Ask your own doctor or health care provider any specific medical questions that you have.