Urinary tract infections in women
Preventing and treating recurrent cystitis
Burning or urinary tract infections in women: Professor François Haab offers a complete assessment and appropriate treatment for women.
Introduction
Urinary tract infections (UTIs) are very common in women. They manifest as burning during urination, a more frequent urge to urinate, pelvic pain, or persistent discomfort. They can be simple and occasional, but some women experience recurrent infections, affecting their quality of life. A poorly treated UTI can spread to the kidneys (pyelonephritis) and lead to complications. A thorough evaluation can identify the cause and prevent recurrences.
Common symptoms
Why are urinary tract infections more common in women?
Female anatomy: A shorter urethra facilitates the ascent of bacteria. Sexual life: Certain sexual acts can promote the migration of bacteria to the bladder. Hormonal variations: Postpartum, menopause, and menstrual cycle fluctuations weaken the urinary tract lining. Hygiene or urinary habits : Wiping, dehydration, and urinary retention. Medical factors: Prolapse, diabetes, vaginal dryness, constipation, and bladder emptying problems.
Possible causes of urinary tract infections
Diagnosis
A precise assessment makes it possible to distinguish between: simple infection, recurrent infection, complicated infection or infection linked to an underlying disorder.
1. Medical interview
- Context of emergence
- Relapses
- Triggering factors
- Hydration method
- Sex life
- Gynecological history
2. Clinical examination
- Research on pelvic pain
- Signs of vaginal dryness
- Prolapse or anatomical abnormality
3. Additional examinations
- ECBU : essential in case of suspicion or recurrence
- Rapid urine test (strip)
- Ultrasound in case of pain, fever or relapses
- Gynecological examination if dryness or dyspareunia
- Analysis of bladder emptying if retention is suspected
In case of recurrence, a more thorough assessment may be necessary.
Possible treatments
Why consult Professor Haab?
Patient Journey
Each patient benefits from personalized support, from the initial consultation to post-treatment follow-up. The process includes a thorough assessment, a clear presentation of the various treatment options, and a gradual approach tailored to each individual’s situation.
Do you experience burning during urination or recurring infections?
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Urinary tract infections in women
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FAQ – Frequently Asked Questions
Why do we get recurrent urinary tract infections?
Recurrent cystitis can be explained by several contributing factors: insufficient hydration, infrequent urination, constipation, sexual intercourse, menopause, or, more rarely, an abnormality of the urinary tract. The evaluation aims to identify these factors in order to address them.
When should you consult a urologist?
A consultation is necessary from 3 to 4 cystitis episodes per year, in case of blood in the urine, associated fever (sign of kidney damage), or systematically in case of urinary tract infection in men.
How to prevent relapses?
Effective measures include hydration of at least 1.5 liters per day, regular urination and urination after intercourse, combating constipation and, as appropriate, cranberry, local estrogens after menopause or targeted antibiotic prophylaxis.
What tests are performed in cases of recurrent infections?
The assessment usually includes a urine culture and sensitivity test (UCST), an ultrasound of the urinary tract with measurement of post-void residual urine and, depending on the case, a cystoscopy to examine the bladder wall.
Pr François Haab's expertise
Chirurgien Urologue à Paris
Urinary tract infections in women: there are solutions.