Recurrent Urinary Tract Infections

Almost half of the female population will experience an episode of urinary tract infections (UTI) at least once in their lifetime. Fortunately, UTIs can be easily treated for most women.

What is UTI?

UTIs occur when there is a growth of bacteria in the bladder causing irritation to urination. Because the female urethra (the water pipe) is shorter than a male’s urethra, women are more likely to experience UTIs. As the urethra is located closer to the anus, the risk of cross contamination is higher.

What is recurrent UTI?

Unfortunately, some women are more prone to recurrent UTIs, whether it be a genetic, physiological or anatomical predisposition. Although patients with voiding dysfunction may have recurrent UTIs, not every patient with recurrent UTIs have voiding dysfunction or voiding difficulties.

Recurrent UTI is classified as having more than two episodes of laboratory proven UTI in six months, or more than three episodes in one year.

What are the symptoms of UTI?

• Burning with urination
• Frequent or urgent need to urinate
• Pain or pressure in the lower pelvic area
• Cloudy or malodorous urine
• Blood in urine

Who is at risk of UTIs?

Women who are sexually active, pregnant, menopausal and those with health conditions that may decrease the body’s ability to fight infections are most at risk.

Treatment options:

After an initial pelvic exam to exclude other possible causes, you may be asked to perform a mid-stream urine collection. This test will be able to determine the type of bacteria present and the type of medication that would be most effective in treating the infection. If possible, it would be extremely helpful if you can obtain a record of all your previous urine results in the last 12 months for your consultation.

Depending on the severity, Dr Wong may request that you undergo a cystoscopy so that she can view the inside of your bladder. She may also request for an ultrasound to examine your kidneys.