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Cystitis

Urinary tract infections (UTIs), often known as cystitis, are the prevalent sort of infection affecting females between the ages of 18 and 65. If you experience over three infections a year or two in 6 months, it is considered recurrent UTI, which is becoming an increasingly widespread issue worldwide for both men and women.

Bacteria that ascend from the vaginal wall enter the urethra and move into the bladder, leading to most UTIs.

While cystitis, bladder infections, and UTIs are common, it’s important to note that the symptoms of cystitis could also result from more serious underlying conditions, like bladder cancer. If your symptoms persist, it’s essential to consult with your doctor for further diagnostic reassurance.

Our Clinic offers a comprehensive service to diagnose and treat recurrent UTIs. So, if you have any concerns, don’t hesitate to contact or visit us directly.

Causes

Cystitis is most commonly caused by bacteria that get into the urinary tract via the urethra and multiply. Several risk factors can increase the likelihood of developing the infection:

  • Sexual activity
  • Not wiping from front to back, especially for women
  • Obstructions in the urinary tract by conditions like kidney stones or an enlarged prostate
  • Use of a contraceptive diaphragm and condoms covered with spermicide
  • Weakened immune system due to chemotherapy and diseases like diabetes or HIV
  • Use of a catheter, which is a thin tube that drains urine from the bladder
  • Trouble emptying the bladder fully
  • Menopause, due to lower levels of estrogen in the urinary tract
  • Recent urinary surgery or procedures involving medical instruments

Women are more susceptible to UTIs since their urethra is shorter, making it easier for bacteria to travel to the bladder. It is also located near the anus.

Symptoms

While most cases of UTIs aren’t serious, their symptoms can be quite uncomfortable and intense. The common symptoms include:

  • Painful urination (searing, burning, or sharp pain while urinating)
  • Constant discomfort or burning feeling in the urethra
  • Increased frequency and urgency of urination
  • Lower abdominal pain
  • Persistent UTIs (experiencing repeated episodes of UTI symptoms)
  • Fever
  • Blood in urine

Have more questions?

We’re here to help - get in touch or book your appointment today.

Treatments for Cystitis

Antibiotics:

The typical treatment for UTIs involves antibiotics, which most patients respond to well, especially for a single episode. The choice of antibiotics is personalized to the individual depending on urine culture sensitivity profiling and clinical judgment.

For recurrent infections, antibiotic treatments may include:

  • Keeping antibiotics at home for immediate use
  • Taking a low-dose antibiotic nightly
  • Taking antibiotics after intercourse

Intra-vesical treatments:

For patients with recurrent UTIs, bladder lining deficiencies may make them more prone to infections. Proper treatment involves bladder installations, performed weekly for six weeks, then a monthly course for 6 months. This treatment is well-tolerated by many patients and has a 70% success rate in reducing infection rates and improving bladder comfort.

Laser treatments:

For women who develop cystitis post-menopause because of changes in vaginal health, hormone replacement therapies (HRT) and local estrogen creams may help reverse some effects. However, many patients dislike these treatments. A recent study on laser vaginal rejuvenation has shown promising results, with improvements in vaginal health, reduced UTIs, and enhanced sexual health.

Lifestyle Advice

Several lifestyle changes can help prevent UTIs. We recommend the following:

  • Proper wiping: It’s important to wipe from front to back after bathroom use.
  • Avoiding prolonged baths: Showers are better as bath water can introduce bacteria into the urethra.
  • Use tampons during periods: They keep the area around the urethra drier.
  • Empty the bladder regularly: Urinate every 4 hours during the day.
  • Wear cotton underwear: Avoid tight-fitting, non-breathing materials.
  • Stay hydrated: Drink more water to keep urine pale yellow. Cranberry juice may have some benefits.
  • Post-sex hygiene: Empty the bladder after intercourse and avoid spermicidal jelly.
  • Post-menopause: Consider estrogen vaginal cream to maintain bladder health.

Have more questions?

We’re here to help - get in touch or book your appointment today.

Seeking Treatment and Support

At South Kensington Medical & Dental Clinic, our experienced medical team is dedicated to diagnosing and treating urinary tract infections (UTIs) with personalised, high-quality care. We offer comprehensive in-clinic services, including consultations and diagnostics, all in one place—ensuring you receive prompt and effective treatment to help you return to full health.

We are open

Monday to Thursday 9am to 6pm

Friday 8am to 5pm

Saturday 10am to 2pm

Sunday by Appointment Only

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020 7183 2362

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Address

20 Old Brompton Road, South Kensington, London SW7 3DL