Recurrent UTI

Question 1

History questions for recurrent UTI?

Answer 1

LUTS - urgency, frequency, dysuria, incomplete bladder emptying
Any air in urine? Any gas in urine?
How often do UTI occur?
When do they usually happen, after sex?
Are your UTI urine culture confirmed?
Any prior surgeries?
What medications do you take?
Hematuria?
Family hx of GU malignancies?
How are your bowel movements, and constipstion?
Any radiation?

Question 2

What is impt on physical exam?

Answer 2

Vaginal atrophy

Question 3

What is criteria for recurrent UTI?

Answer 3

2 in six months
3 in one yr

Question 4

What are other differentials?

Answer 4

Malignancy
IC
OAB
Post menopausal atrophy
Urethritis
Urethral diverticulum
Pelvic floor dysfunction

Question 5

When is urine actually surveyed in patients that are asymptomatic?

Answer 5

Pregnant and preop pts

Question 6

What are some antibiotic prophylaxis protocols for women?

Answer 6

Bactrim 40/200 daily
Macrobid 50 daily
Cephalexin 125 daily
Cephalexin 250 daily

Question 7

How about post coital?

Answer 7

Can be single dose before or after
Bactrim 40/200
Macrobid 50-100
Cephalexin 250

Question 8

What is only supplement recommended per AUa?

Answer 8

Cranberry

Question 9

When is post medication testing actually done?

Answer 9

Only when patient is persistently symptomatic