Condition guide · Urology

Urinary Tract Infections

Fast diagnosis, the right antibiotic and prevention of repeat infections.

What is a urinary tract infection?

A urinary tract infection (UTI) is an infection anywhere in the urinary system. Most affect the bladder (cystitis); an infection that reaches the kidney (pyelonephritis) is more serious.

UTIs are more common in women. In men, a UTI usually points to an underlying cause worth checking.

Symptoms

  • Burning or pain when urinating
  • Needing to urinate often and urgently
  • Cloudy, strong-smelling or bloody urine
  • Pain in the lower abdomen

Causes and risk factors

  • Bacteria from the bowel, most often E. coli
  • Not emptying the bladder fully, for example with an enlarged prostate
  • Kidney stones
  • A urinary catheter
  • Diabetes
  • Pregnancy and menopause

Diagnosis

  • Urine dipstick and microscopy
  • A urine culture to identify the bacteria and the right antibiotic
  • Ultrasound or other imaging for men, repeated infections or kidney infection

Treatment options

Treatment aims to clear the infection and stop it from coming back.

Antibiotics

Chosen according to the culture result. Finishing the whole course is important, even when you feel better.

Symptom relief

Fluids and pain relief ease symptoms while the antibiotic works.

Finding the cause

For men and for repeated infections, tests look for causes such as stones, prostate enlargement or incomplete bladder emptying.

Preventing recurrence

Practical advice and, for some patients, preventive treatment reduce repeat infections.

Preventing repeat infections

  • Drink enough water through the day
  • Don't hold urine for long periods
  • Urinate after intercourse
  • Avoid irritating soaps and douches
  • Treat constipation

Frequently asked questions

Some mild bladder infections settle on their own, but untreated infections can spread to the kidney. It is safest to have a urine test and get advice.
UTIs are less common in men, so they are usually checked for a cause such as an enlarged prostate, stones or incomplete bladder emptying.
Symptoms usually improve within one to three days. The course lasts from a few days to two weeks, depending on the type of infection.
No. A UTI does not pass from person to person, although intercourse can make infections more likely in some women.
Repeated infections often have a cause that can be found and treated. Tests and a prevention plan help break the cycle.

This page is general information and does not replace a medical consultation.

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