UTIs

Question 1

Perimenopausal women are likely to get UTIs because of what

Answer 1

Narrowing of urethral meatus causing recurrent UTIs

Question 2

Treat a narrowed urethra in perimenopausal women

Answer 2

Urethral dilation

Vaginal oestrogen

Question 3

What tests would you do for a women with recurrent UTIs

Answer 3

Urinalysis 
Uroflowmetry 
Post voidal scan 
Renal USS 
Cystoscopy

Question 4

What do you use for abx prophylaxis for UTIs

Answer 4

1st trimethoprim or nigrofurantoin

2nd amoxicillin or cefalexin

Question 5

If a patient comes with recurrent UTIs what is the most important test to offer

Answer 5

Renal US (kidney)

Question 6

Bacteria causing uncomplicated UTIs

Answer 6

Coliforms enterococci

Question 7

Complicated UTI (pyelonephritis/urosepsis) Bacterial causes

Answer 7

Coliforms enterococci pseudomonas

Question 8

What makes a UTI recurrent

Answer 8

> 3 in 6 mths

Question 9

Only culture urine if

Answer 9

Recurrent or not responding to abx

Question 10

Culture blood and urine in UTI if

Answer 10

Complicated infection

Male

Question 11

What abx in urosepsis

Answer 11

IV amoxicillin and gentamicin

If pen allergy cotrimoxazole and gentamicin

Question 12

What are the surgical options for stress incontinence

Answer 12

Colposuspension (open or lap)
Or
Autologous rectus fascial sling

Consider mid urethral mesh sling or intramural bulking agents (permament injectable materials)