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Urinary Tract Infection (UTI)

A urinary tract infection (UTI) is a bacterial infection that affects any part of the urinary system, including the kidneys, ureters, bladder, and urethra. UTIs are commonly caused by bacteria entering the urinary tract through the urethra and multiplying in the bladder. UTIs can range from mild to severe and may require medical treatment to prevent complications.

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Signs and Symptoms:

Signs and symptoms of a urinary tract infection may vary depending on the location and
severity of the infection, but common manifestations include:

1. Urinary urgency and frequency: Urgent or frequent need to urinate, often with
only small amounts of urine passed each time.
2. Dysuria: Pain or discomfort during urination, often described as burning,
stinging, or itching.
3. Lower abdominal pain or discomfort: Dull, aching pain or pressure in the
lower abdomen or pelvic region.
4. Hematuria: Blood in the urine, which may appear pink, red, or cola-colored.
5. Cloudy or foul-smelling urine: Urine may appear cloudy, strong-smelling, or
unusually foul.
6. Urinary retention: Inability to completely empty the bladder, leading to urinary
urgency and discomfort.
7. Systemic symptoms: In severe cases or if the infection spreads to the kidneys,
symptoms such as fever, chills, nausea, vomiting, and back or flank pain may
occur.

 

Prevention:

Preventing urinary tract infections involves adopting healthy habits and lifestyle
practices to reduce the risk of bacterial contamination and infection. Prevention
measures may include:

1. Stay hydrated: Drink plenty of water throughout the day to flush bacteria out of
the urinary tract and maintain adequate urine flow.
2. Practice good hygiene: Keep the genital area clean and dry, and wipe from
front to back after using the toilet to prevent bacteria from entering the urethra.

3. Urinate after intercourse: Empty the bladder shortly after sexual intercourse to
flush out bacteria that may have entered the urinary tract.
4. Avoid irritating products: Avoid using harsh or irritating products in the genital
area, such as scented soaps, douches, or feminine hygiene sprays.
5. Take probiotics: Consuming probiotic-rich foods or supplements may help
maintain a healthy balance of bacteria in the urinary and digestive systems.

 

Treatment:

Treatment for urinary tract infections typically involves a combination of antimicrobial
therapy to eradicate the bacteria causing the infection and supportive care to alleviate
symptoms. Treatment options may include:

Medical Treatment:

1. Antibiotics: A course of antibiotics, such as trimethoprim-sulfamethoxazole,
nitrofurantoin, or ciprofloxacin, is prescribed to treat the bacterial infection and
prevent recurrence.
2. Urinary analgesics: Pain medications, such as phenazopyridine, may be used
to relieve discomfort and urinary symptoms.

Surgical Treatment:

Surgical intervention is rarely necessary for uncomplicated urinary tract infections but
may be considered in cases of recurrent or complicated infections, such as:

1. Urethral dilation: Surgical procedure to widen the urethra, particularly in cases
of urethral stricture or obstruction.
2. Urinary tract reconstruction: Surgical repair or reconstruction of the urinary
tract, particularly in cases of structural abnormalities or congenital defects
predisposing to UTIs.

Other Sub Specialities

Kidney Stones

Ureteric Stone

Urinary Bladder Stone

Benign Prostatic Enlargement

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