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Suggest Treatment For Frequent UTI In A Heart Patient

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Posted on Thu, 16 Jun 2016
Question: My mother gets infected by UTI very frequently, almost every 3 or months. She had the CABG in 2010 and almost since then is having this problem. She is not Diabetic and taking only heart medicines. Mostly in her culture report, she gets the e-coli bacteria.
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Answered by Dr. Dr. P. T. Patil (40 minutes later)
Brief Answer:
This could be due to chronic UTI due to Urethral Stenosis .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that your mother has repeated episodes of UTI since couple of years .

In elderly females there is generalized atrophy of genital organs which also involves urethral passage which leads to narrowing of urethral passage called as Urethral stenosis

This narrowing of urethral passage causes incomplete emptying of bladder during micturition resulting into significant amount of urine to remain in bladder what is called as Post Void Residual urine .

This post void residual urine is the source of chronic infection (UTI).

Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis with Post Void Residual urine volume
3) Endoscopic examination of bladder (Cystoscopy) .

He may do calibration of urethra and dilate the urethra during the same sitting which should be followed by Clean Self Intermittent Catheterization (CSIC) every day at home for 2-3 months .This will help her to keep her urethral passage wide open to empty the bladder completely which will help to prevent getting UTI.

Hope I have answered your query ,please feel free to ask if you have more questions , 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. Yogesh D
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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Suggest Treatment For Frequent UTI In A Heart Patient

Brief Answer: This could be due to chronic UTI due to Urethral Stenosis . Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that your mother has repeated episodes of UTI since couple of years . In elderly females there is generalized atrophy of genital organs which also involves urethral passage which leads to narrowing of urethral passage called as Urethral stenosis This narrowing of urethral passage causes incomplete emptying of bladder during micturition resulting into significant amount of urine to remain in bladder what is called as Post Void Residual urine . This post void residual urine is the source of chronic infection (UTI). Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis with Post Void Residual urine volume 3) Endoscopic examination of bladder (Cystoscopy) . He may do calibration of urethra and dilate the urethra during the same sitting which should be followed by Clean Self Intermittent Catheterization (CSIC) every day at home for 2-3 months .This will help her to keep her urethral passage wide open to empty the bladder completely which will help to prevent getting UTI. Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you . Thanks and Regards. Dr.Patil