Recurrent UTIs: Controlling Bladder Infections w/ Dr. Anne Cameron | Urology Podcast Ep. 144

In this crossover episode of BackTable OBGYN with Urology, Dr. Suzette Sutherland, Director of Female Urology at the University of Washington, and Dr. Anne Cameron, Professor of Urology at the University of Michigan, share their insights on the prevention and management of urinary tract infections (UTIs).
First, they emphasize the importance of dispelling misconceptions about recurrent UTIs being a result of poor hygiene or incorrect behaviors, explaining that they can stem from genetic or hormonal risk factors. Dr. Cameron describes her algorithm for managing UTIs in specific patient populations. She further discusses the impact of factors such as fluid intake, bowel habits, and vaginal health on the incidence of UTIs. Dr. Cameron also highlights the potential for UTIs in diabetic patients on certain medications and the importance of a collaborative approach with diabetic healthcare teams. Additionally, the doctors explore various treatment strategies, such as cranberry supplements and gentamicin bladder installations, cautioning against antibiotic overuse due to the risk of resistance.
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SHOW NOTES
00:00 - Introduction
02:20 - Understanding UTIs: Definitions, Symptoms, and Prevalence
04:46 - Recurrent UTIs: Definitions, Causes, and Treatment Challenges
12:07 - Understanding Asymptomatic Bacteriuria
15:07 - Cystitis vs. Pyelonephritis vs. Urosepsis
21:04 - Antimicrobial Resistance and Antibiotic Stewardship
24:43 - Treatment Guidelines for UTIs
31:20 - Self-start Antibiotic Therapy for UTIs
34:44 - Preventing UTIs: Hydration, Lifestyle Factors, and Bowel Health
38:40 - The Connection Between Vaginal Health and UTIs
42:47 - The Role of Supplements in UTI Prevention: D-Mannose and Cranberry, and Methenamine Hippurate
57:25 - Identification and Treatment of UTIs in Patients with Indwelling Catheters
01:00:11 - The Role of Gentamicin Bladder Installations in UTI Prevention
01:04:34 - The Impact of Diabetes Medications on UTIs
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RESOURCES
AUA Guidelines for UTI Treatment:
www.auanet.org/guidelines-and...
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