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Suggest Remedies For Recurring UTI In An Elderly Woman
Question: Hi I'm a 67 yr old femail and have a long history or seveer cystitis , I have taken every known antibiotics, I am allergic to macro dating, I have numerous tests all to no avail ,the urinary tract infections continue on average every 2 weeks, can you suggest an alternative and by the way I drink cranberry juice and take the same in concentrated for. Thank you.
Brief Answer:
Repeated UTI is mostly due to Post Menopausal Urethral Stenosis .
Detailed Answer:
Hello
Thanks for query .
The repeated episodes of UTI that you are getting is mostly due what is termed as Senile Urethral Stenosis .
In females as the age advances there is generalized atrophy of Genito Urinary organs which also involves urethra leading to narrowing of urethral passage (Urethral Stenosis),This stenosed urethra causes incomplete emptying of bladder while passing urine leading to adequate quantity of urine to remain in bladder what is called as Post Void Residual Urine (PVR) this residual urine is the source of getting repeated episodes of Urine ,
You need to consult qualified Urologist and get following basic tests done to establish diagnosis .
1) Urine routine and urine culture
2) Ultrasound Scanning of abdomen with specific evaluation of Post Residual Urine volume .
3) Endoscopic examination of bladder
He may do urethral calibration(Urethral Dilatation ) at the same sitting .
This will help to widen the urethral passage and thereby effective complete .However you will need to learn to do Clean self Intermittent Catheterization (CSIC) every day at home to empty bladder for 3-4 months . .
I routinely follow this regime in my elderly female patients who come to me in my practice for last 45 years and getting encouraging results .
You can discuss this regime with your Urologist . I am sure you will be benifitted with this treatments .
Hope I have answered your query .Please do write any more help I shall be happy to help you .
Thanks and Regards.
Dr.Patil.
Repeated UTI is mostly due to Post Menopausal Urethral Stenosis .
Detailed Answer:
Hello
Thanks for query .
The repeated episodes of UTI that you are getting is mostly due what is termed as Senile Urethral Stenosis .
In females as the age advances there is generalized atrophy of Genito Urinary organs which also involves urethra leading to narrowing of urethral passage (Urethral Stenosis),This stenosed urethra causes incomplete emptying of bladder while passing urine leading to adequate quantity of urine to remain in bladder what is called as Post Void Residual Urine (PVR) this residual urine is the source of getting repeated episodes of Urine ,
You need to consult qualified Urologist and get following basic tests done to establish diagnosis .
1) Urine routine and urine culture
2) Ultrasound Scanning of abdomen with specific evaluation of Post Residual Urine volume .
3) Endoscopic examination of bladder
He may do urethral calibration(Urethral Dilatation ) at the same sitting .
This will help to widen the urethral passage and thereby effective complete .However you will need to learn to do Clean self Intermittent Catheterization (CSIC) every day at home to empty bladder for 3-4 months . .
I routinely follow this regime in my elderly female patients who come to me in my practice for last 45 years and getting encouraging results .
You can discuss this regime with your Urologist . I am sure you will be benifitted with this treatments .
Hope I have answered your query .Please do write any more help I shall be happy to help you .
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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