
Chronic urinary tract infections (UTIs) are a recurring condition that affects millions of individuals each year. While acute UTIs may resolve with a single course of antibiotics, chronic UTIs persist or recur despite treatment, causing ongoing discomfort and posing serious health risks if left untreated. Dr. Shawn Todd at Texas Urological Clinic in Lufkin, TX, specializes in diagnosing and treating this condition, providing personalized care to address the root causes of chronic UTIs.
Symptoms of Chronic UTIs
The symptoms of chronic UTIs often overlap with those of acute infections but may persist over time or recur frequently. Common symptoms include:
- A persistent urge to urinate, even when the bladder is nearly empty.
- A burning sensation during urination.
- Frequent urination, often in small amounts.
- Cloudy, dark, or strong-smelling urine.
- Pelvic pain, particularly in women.
- Pain in the lower abdomen or back.
The symptoms of chronic UTIs can vary significantly between men and women due to anatomical differences. Women are more likely to experience pelvic pain and urinary urgency due to their shorter urethra, which allows bacteria to reach the bladder more easily. Men, on the other hand, may experience symptoms like a weak urine stream, difficulty starting urination, or pain radiating to the rectum, often associated with an enlarged prostate or other underlying conditions.
Causes of Chronic UTIs
Chronic UTIs are typically caused by bacteria, with Escherichia coli (E. coli) being the most common culprit. However, other factors can contribute to recurrent infections:
- Anatomical Abnormalities: Structural issues in the urinary tract can make it easier for bacteria to thrive.
- Incomplete Bladder Emptying: Conditions like an enlarged prostate, neurogenic bladder, or bladder stones may prevent complete voiding of urine, creating an environment for bacteria to grow.
- Hormonal Changes: Menopause in women can lead to a decrease in estrogen, weakening the bladder lining and making infections more likely.
- Immune System Deficiency: A weakened immune system may struggle to fight off infections.
- Lifestyle Factors: Sexual activity, improper hygiene practices, or the use of spermicides can also increase the risk of UTIs.
Risks of Untreated Chronic UTIs
Leaving chronic UTIs untreated can lead to severe complications. Persistent infections may spread to the kidneys, causing pyelonephritis, a potentially life-threatening condition. Untreated infections can also result in bladder damage, increased risk of sepsis, or complications related to urinary tract obstruction. Men with chronic UTIs may face additional risks, including prostatitis, which can cause infertility if not addressed promptly.
Diagnostics at Texas Urological Clinic
Dr. Shawn Todd and his team at Texas Urological Clinic offer comprehensive diagnostic services to accurately identify the cause of chronic UTIs. These services include:
- Urine Culture and Sensitivity Testing: Identifies the specific bacteria causing the infection and determines the most effective antibiotics.
- Cystoscopy: A minimally invasive procedure that allows Dr. Todd to examine the bladder and urethra for abnormalities.
- Imaging Studies: Ultrasounds or CT scans to detect structural issues or stones in the urinary tract.
- Urodynamic Testing: Evaluates how the bladder and urethra store and release urine.
- Post-Void Residual Measurement: Determines whether the bladder is emptying completely after urination.
By using these advanced diagnostic tools, Dr. Todd ensures that each patient receives a tailored treatment plan to address their specific needs.
Treatment and Prevention
Treatment for chronic UTIs often involves a combination of strategies. Antibiotic therapy may be prescribed to eliminate persistent bacteria, and long-term suppressive therapy might be recommended to prevent recurrence. For patients with anatomical or functional abnormalities, surgical intervention or specialized procedures may be necessary.
Dr. Todd also emphasizes the importance of prevention, offering lifestyle guidance and medical therapies, such as estrogen creams for postmenopausal women or prophylactic antibiotics for high-risk individuals.
Take Action Against Chronic UTIs
If you suspect you have a chronic UTI, don’t wait to seek help. Early diagnosis and treatment are critical to preventing complications and improving your quality of life. Dr. Shawn Todd and the Texas Urological Clinic team are here to help you find relief and long-term solutions. Visit Texas Urological Clinic to learn more about their services and schedule an appointment today.
Works Cited
- “Urinary Tract Infection.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 8 Mar. 2022, https://www.mayoclinic.org/diseases-conditions/urinary-tract-infection/symptoms-causes/syc-20353447.
- “Chronic Urinary Tract Infections.” National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services, 1 Aug. 2020, https://www.niddk.nih.gov.
- Texas Urological Clinic. “Services.” Texas Urological Clinic, https://texasurologicalclinic.com.