Urology/utis

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QUESTION: dr leslie.internet is full of articles that say repeated utis infections not helped by anti-biotics.I had 2 infections that were cured by microbid and doxycycline.my urologist was to give me low doses of antibotics over longer time.doesnt this contribute to c-diff.do the anti-bitocics quit working before they cure repeated utis infections.is the prognosis good with repeated infections ot anti-biotics stop working if taken over months.can my internist treat me/my urologist sucks

ANSWER: Howard

Antibiotics can cure infections, but when there are repeated infections something else is wrong. It could be prostate obstruction, diabetes, stones, poor personal hygiene or incomplete bladder emptying.

Usually we try to treat underlying good problems well as just the infection. Your internist is not going to be able to do this. If you are not happy with your current urologist, please consult another.

Low dose prophylaxis with antibiotics is reasonable in some cases, particularly when no underlying problem has been found.  


---------- FOLLOW-UP ----------

QUESTION: I have enlarged prostate and take Flomax and proscar.I had urine test 2 months ago it was normal.now  urinatingf hour no other symptons.urine is clear    does frequent urination only withno symptons usually mean infection.lastn time I used doxycycline and neurofin.think I can use them again

Answer
Howard

Frequent urination does not necessarily mean a UTI as it can also be due to overactive bladder, polyuria, diabetes and incomplete emptying. You should not take antibiotics unless approved by your physician. For example, any remaining infection is now likely to be resistant to your original antibiotic so it may be reasonable tovswitch.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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