
What Causes Burning Sensation While Urinating?

explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
You have been started empirically on antibiotics but there is no point in changing antibiotics without knowing the organisms responsible.
I would advise a urine culture , before going for another anti biotic course.
The feeling of the bottom falling out is serious and requires workup as it indicates Pelvic relaxation ( uterine and vaginal prolapse). The diagnosis is clinically done via bimanual pelvic exam.
Kegel exercises, estrogen replacement, pessaries or surgery (colporaphy and hysterectomy ) may be advised after diagnosis is confirmed.
If the burning symptoms persist, a yeast infection can be suspected, treated by fluconazole ( single dose). If that does not improve the symptoms a biopsy of the vulva or the adjoining cervix may be indicated to rule out any serious cause.
Let me know if you have any query
wishing you best of health
Thanks


explained
Detailed Answer:
Hello again,
Long-term effects of hysterectomy on the pelvic floor are: pelvic organ prolapse, urinary incontinence, bowel dysfunction, sexual function and pelvic organ fistula formation. These outcomes are particularly relevant as life expectancy has increased and sequela may occur a long time after the surgical procedure and severely impair quality of life.
Consequently, an increased number of women will present with pelvic floor dysfunction, such as urinary incontinence and pelvic organ prolapse, and women with previous hysterectomy seem to be at particular risk.
So I would still recommend the previous suggestions, in consultation with your doctor.
Bimanual pelvic exam to look for any complications of pelvic floor
Fluconazole for yeast infection empirically
Urine Culture before starting antibiotics
Ultrasound abdomen and pelvis
Thanks

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