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Answered in 12 minutes by:
1/10/2011
Dr. R, Board Certified Urologist
Category: Urology
Satisfied Customers: 3,570
Experience: Authored over 25 Book Chapters and Articles, Specializes in male and female voiding issues
VerifiedHello and thanks for your question. Please be patient as I respond: I may be in the OR or seeing a patient and will respond ASAP.
Sounds like you may have another Uti. I would recommend having a urinalysis and urine culture to evaluate this. If you have am infection, you may need another course of antibiotics.
In addition, if there is an infection, you should see a urologist.
I would recommend seeing a urologist who specializes in voiding dysfunction. You should have a Ct scan of the kidneys to rule out a stone which can cause recurrent infections. You should have a look in your bladder to make sure your bladder or urethra doesn't have a pocket called a diverticulum which can be a cause. If they are both normal, I would recommend a test called video Urodynamics to evaluate your bladders ability to hold urine, not reflux back to your kidneys and empty properly. If all of these tests are normal, then placing you on a prophylactic regimen with something called hiprex or mandelamine ( along with lactobacillus or acidophilus) is a nice choice on a daily basis to help prevent the cycle of infections and allow the normal vaginal flora to reestablish and prevent this viscous cycle from reoccuring.
Sounds like you may have another Uti. I would recommend having a urinalysis and urine culture to evaluate this. If you have am infection, you may need another course of antibiotics.
In addition, if there is an infection, you should see a urologist.
I would recommend seeing a urologist who specializes in voiding dysfunction. You should have a Ct scan of the kidneys to rule out a stone which can cause recurrent infections. You should have a look in your bladder to make sure your bladder or urethra doesn't have a pocket called a diverticulum which can be a cause. If they are both normal, I would recommend a test called video Urodynamics to evaluate your bladders ability to hold urine, not reflux back to your kidneys and empty properly. If all of these tests are normal, then placing you on a prophylactic regimen with something called hiprex or mandelamine ( along with lactobacillus or acidophilus) is a nice choice on a daily basis to help prevent the cycle of infections and allow the normal vaginal flora to reestablish and prevent this viscous cycle from reoccuring.
It could be due to spasm of the urethral muscles or it could be due to something called a urethral diverticulum or urethral prolapse or a urethral caruncle. I would see a urologist to be examined and sort through it.
Dr. R, Board Certified Urologist
Category: Urology
Satisfied Customers: 3,570
Experience: Authored over 25 Book Chapters and Articles, Specializes in male and female voiding issues
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