Bernard T. Haylen

Professor UNSW
MBBS (SYD) MD (L'POOL)
FRCOG FRANZCOG CU

 


Recurrent UTI

Recurrent Urinary Tract Infection

Treatment of recurrent urinary tract infections (UTI) is individualised depending on the history of the problem.
In studies by Professor Haylen (reference 50), a residual urine volume over 30mls was the only identifiable risk factor for recurrent UTI. This, in turn, may be related to some of the causes mentioned in the voiding dysfunction section.

Medical treatment would involve the introduction of UTI prevention (prophylaxis). This might involve an initial course of antibiotics followed by some longer term urinary antiseptic tablets. Often Hexamine (Hiprex), a very safe urinary antiseptic is used, desirably taken with Vitamin C to improve its efficacy.

Other UTI prophylactic regimens are tailored to number of and the symptoms from the recurrent UTI.

Imaging investigations might, at times, include further urine or blood tests, an ultrasound or X-ray of the kidneys and urinary tract. An examination of the bladder under anaesthetic (cystoscopy) might be required to eliminate any causes of the recurrent UTI within the bladder. Surgery might occur if there are surgical causes of a high residual.


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Printed on: Sun 17 December 2017 at 1:13:19 PM AEDT