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Suggest Treatment For Refractory Chronic UTI

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Posted on Wed, 13 Jan 2016
Question: hi
ive recently had a TURP and bladder XXXXXXX incision as ive had recurring UTI for a year now (im49)
i got a nasty bout of cystitus 4 days after the op and have been on every antibiotic since as i tested positive for a UTI 2 weeks ago. im now on the last antibiotic thats sensitive to my strain of bacteria and im not holding my breath !! Basically what options do i have left to sort this infection ?
i can only think of IV treatment in hospital
please can you set my mind at rest at all ?
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
Need to repeat urine culture and sensitivity test.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have undergone Bladder Neck Incision (TUIP) for repeated UTI due to Bladder Outlet Obstruction very recently and now facing problem of UTI which is not responding even to antibiotics to which the organisms are detected to be sensitive in urine culture report.

In majority of cases of refractory Chronic UTI bacteria change their sensitivity pattern very frequently over a period of short time .Hence I would suggest you to repeat Urine culture test to find out the antibiotic sensitivity pattern and so that you can switch on to appropriate antibiotic as per new culture report .

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. Chakravarthy Mazumdar
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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 Refractory Chronic UTI

Brief Answer: Need to repeat urine culture and sensitivity test. Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you have undergone Bladder Neck Incision (TUIP) for repeated UTI due to Bladder Outlet Obstruction very recently and now facing problem of UTI which is not responding even to antibiotics to which the organisms are detected to be sensitive in urine culture report. In majority of cases of refractory Chronic UTI bacteria change their sensitivity pattern very frequently over a period of short time .Hence I would suggest you to repeat Urine culture test to find out the antibiotic sensitivity pattern and so that you can switch on to appropriate antibiotic as per new culture report . 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