Page 114 - Urological Health

7.What is the treatment?

• Ciprofloxacin (antibiotic) is commonly taken for two to four weeks.
• If you are severely ill with your infection and need hospitalization, your antibiotics will be
administered intravenously and you will be carefully monitored.
• If you have any blockage, you’ll need a medication called a selective alpha blocker.
• If your bladder function is impaired and not completely emptying, you will need a
catheter inserted to drain the bladder.
– If you have chronic bacterial prostatitis

• Recurrent prostate infections in men are referred to as chronic bacterial
prostatitis.
• You may need more tests (special urine tests or diagnostic imaging).
• Ciprofloxacin is the drug of choice and may be prescribed for a longer period
of time, such as six weeks.
• If the bacteria are not gone with the ciprofloxacin, you’ll need another
antibiotic.
UNDER REVIEW

SPECIAL CONDITIONS REGARDING MEN AND WOMEN:

1-People Using Intermittent Or Indwelling Catheters

Catheterization is when your doctor inserts a small tube into the bladder through the urethra to drain
urine. Catheterization causes a UTI by introducing bacteria into the urinary tract. If the catheter stays
in, it’s called an indwelling catheter. In some patients, the use of a catheter is to empty the bladder to
prevent infection. In the some patients, the catheter is used to drain the bladder completely and then
it’s removed. This is called intermittent catheterization.

•If you have a catheter, your urine always contains bacteria and you usually don’t have any symptoms.

•Your urine culture is always positive, but treatment is not recommended unless you have fever,
change in urine colour, smell and a burning sensation.

•Unnecessary antibiotics will result in “superbugs” which may be very difficult to treat.

2- Recurrent UTI

Recurrent UTI is more than two UTIs in six months or three UTIs within one year. There are different
causes of recurrence.
Causes related to the antibiotic

• If the bacteria is resistant to the antibiotic

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