UTI or urinary tract infection is a significant
healthcare issue accounting for 8.1 million visits to
health care providers and cost of about $1.6 billion in
the United States alone. Interesting numbers you may
add, however what can be done about these infections
which seem to be recurring or never really going away?
Once it becomes recurrent; treatment becomes more
complicated than a couple of days of antibiotics for
relieving the pain and burning with urination and
urgency and frequency.
There is a lot more to UTI’s than you may think.
There are bacteria which can be more or less aggressive
and there is the host, you, who can be more or less
susceptible to infections and a bladder which may not be
People can be genetically more receptive to
infections, may have diseases diminishing the immunity
like diabetes or chemotherapy or change the fighting
power by changing the acidity or low hormone levels of
the vagina and perineum (area between vagina and
rectum). In pregnancy and also once menopause hits,
women are more susceptible to getting a UTI.
UTI, it seemed so
simple, the most common bacterial
infection, however a source of
significant anguish when it recurs
or is persistent.
Joyce (64) and her neighbor Margaret (60) both had
recurrent bladder infections. Even though there could be
an environmental factor, it was less complicated than
that. Joyce was told elsewhere to pay more attention to
hygiene. She had always just used the shower head with
water to wash up, but now had invested in wipes and
soap. Her infections became worse, since soap changes
the acidity of the vagina and diminishes the resistance
to bacteria and so did the wipes. Joyce had been
drinking a lot of fluid for years. Even though fluids
will diminish the density of the bacteria in the
bladder, too much is too much. There is no scientific
study showing a health benefit to excessive water
drinking, instead it can lead to fatigue, dizziness,
incomplete bladder emptying and incontinence. Exercising
on a regular basis is a much better idea to improve your
health. Joyce was drinking a bottle of water an hour.
Even though it prevented her from drinking soda and
overeating, it also prevented her bladder from
completely emptying. Joyce reversed the process and cut
down on her water intake. With some nerve and muscle
stimulation her bladder started functioning properly
again and her recurrent UTI, is a thing of the past. She
has been very pleased without anymore UTI.
Margaret, her neighbor had always been amazed by the
enormous amounts of water Joyce would drink and had
never copied the habit. Margaret had been having UTI’s
and urgency for what seemed to be no apparent reason.
She had no diseases diminishing her immunity and had no
infections when she was younger. She was sexually active
and sometimes would get an infection after intercourse,
but not always. She had used a daily antibiotic for a
while, but that did not seem to work any longer.
Margaret had chronic cystitis and several washings of
the bladder made her continued urgency feeling disappear
and restored the wall of the bladder increasing her
resistance in addition.
After counseling about options to increase the
fighting power against the bacteria, Margaret chose to
use local estrogen. Margaret has an Estring® and has
been infection free now for 6 months.
UTI, it seemed so simple, the most common bacterial
infection, however a source of significant anguish when
it recurs or is persistent.
At Central Florida UroGynecology we have been
very successful in treating and preventing recurrent
Katrina Davis, M.D. and Marja Sprock, M.D. are
female board certified urogynecologists and have a vast
experience in finally getting the issue resolved.
Central Florida UroGynecology 321-806-3929 for
an appointment or check us out at
Florida UroGynecology where high tech and common sense