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Recurrent UTIs: Causes, risks, and how to prevent kidney damage

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Urinary tract infection is a very common disease for both males and females of all age groups. In males the urinary tract consists of two kidneys, the ureters, the urinary bladder, the prostate gland, and the urethra. Repeated urinary infection a stone tract. The most common cause is a stone acting as a nidus anywhere in the urinary tract for bacteria and repeated infection.


The treatment is the removal of the stone from the urinary tract. If there is a stricture in the urethra, that is, if an obstruction in the male urethra causes repeated urinary tract infections. Men with neurological diseases who also have decreased contractions of the urinary bladder will suffer from recurrent UTIs . Men with prostate gland infections also have repeated urinary infections. BPH is a disease in men about age 50 years that can lead to recurrent UTIs. Male children with birth defects like posterior urethral valves, vesicoureteric reflux, and hypospadias also will have recurrent UTIs.



In females, the urinary tract consists of two kidneys, two ureters, a urinary bladder, and a urethra. Female recurrent UTI is a natural occurrence due to the urethra being very close to the vagina. Hence, they are very common in females. Repeated genital infections and also urinary infections. Anomalies cause tract-like urethral stenosis & short caliber. Female recurrent kidney stone disease is a birth defect in urinary vesicoureteral reflux that can lead to recurrent UTIs. Diseases can lead to neurological issues or frequent UTIs in the spine. For both males & females, diabetes mellitus is the major culprit behind recurrent UTIs. Patients need strict sugar control to avoid this.

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Recurrent UTIs can significantly impact quality of life if not treated properly. In both males and females, it is important to determine the cause of recurrent UTIs, whether it is due to structural anomalies, neurological disorders, or metabolic disorders such as diabetes. Delayed treatment or neglect can cause permanent damage to kidneys, which can raise the risk of sepsis and lead to chronic discomfort. While antibiotic therapy is the primary line of treatment, recurring infections require further diagnostic tests such as ultrasound, CT scan, cystoscopy, or urodynamic studies to rule out structural or functional problems.


Hygiene, fluids, and timely medical advice are all important prevention factors. For men over 50, the risk of prostate issues becomes more important to investigate, while women should educate themselves on anatomic or infective causes in the area of the genital tract. Children born with congenital aberrations of the urinary system will require early surgery or longer-term medical input to avoid complications to the kidneys. Since recurrent UTIs are multi-factorial, both lifestyle modifications and medical treatment are necessary for long-term relief.

(Dr Ravi Sankar Ganji, Consultant Urology Renal Transplant Surgery & Robotic Surgery, Manipal Hospital Vijayawada)

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