MADRID, JULY 25 (EDITIONS) –
UTIs may be more common in predisposed patients in summer, primarily because fluid is lost through routes other than the urinary tract at this time of year. They are more common in women and when they occur directly in men they should be considered complicated urinary tract infections.
“They are more common at this time because you usually sweat more and urinate less.. To compensate for this disorder, it is necessary to consume a sufficient amount of additional liquid, especially at high temperatures. Other avoidable factors to consider are moisture after bathingwhich can affect the vaginal balance between defensive and pathogenic microorganisms,” warns Dr. Jesús Moreno Sierra, Head of the Urological Service at the San Carlos Clinic in Madrid and Professor at the Complutense University, in an interview with Infosalus.
Specifically, urinary tract infections are mentioned Cystitis when affecting the lower urinary tract (bubble) and Upper urinary tract pyelonephritisreach the kidneys, explains this expert.
WHAT ARE YOUR SYMPTOMS
Detecting them in time is essential to be able to stop themand according to Professor Moreno Sierra, in the case of cystitis are the most common symptoms: Pains; stinging; Combustion; difficulty urinating (dysuria); Frequency, ie urinating more often than usual; feeling like you need to urinate urgently, which may be accompanied by leakage of urine (incontinence); In some cases we can notice urine with an intense color or unpleasant odor, bleeding and discomfort in the lower abdomen.
In the case of an infection of the upper urinary tract or inflammation of the renal pelvis, it is said that the following occurs: pain, stinging, burning, difficulty urinating, combined with impairment of general well-being (sweating, tiredness, muscle pain, nausea, high fever, chills). and pain in the urinary tract) lumbar on the kidney side).
WHICH FACTORS DO YOU PREFER
This is what the urologist at the Hospital Clínico San Carlos says in general terms In both men and women, urinary tract infections can occur in patients with diseases such as diabetes, who consume alcohol excessively, with malnutrition, immunodeficiency and in patients with longer hospital stays.
“When it is necessary to manipulate the canal that connects the bladder to the outside or the urethra to perform diagnostic tests or treatments also promote urinary tract infections,” adds the professor from the Complutense University of Madrid.
They are factors that favor urinary tract infections in women, as already mentioned: sexual activity; the pregnancy; the use of contraceptive methods; local factors such as the use of spermicides, intrauterine devices; change of sexual partner; vaginal dryness; and the existence of birth anomalies.
“UTIs are more common during menopause when there is a history of urinary leakage (incontinence), pelvic organ prolapse (a fallen or sunken bladder, uterus, or rectum),” he adds.
In men, this specialist points out that we must take into account that changes in bladder function (neurogenic bladder) or anatomical changes that provoke some diseases of the prostate (benign prostatic hyperplasia or urethral narrowing (stenoses, stones, etc. ) can be predisposing factors .
CAN WE PREVENT THEM?
Despite all this, the Head of the Urological Service of the San Carlos Clinical Hospital in Madrid emphasizes that if we know the risk factors, we can prevent them. “Then we will be able to carry out preventive measures. In this sense, the control of diseases such as diabetes and those diseases that cause changes in our immune system will be fundamental,” he adds.
Other important preventive measures are: increasing water intake, especially in summer; adequate genital hygiene (avoid products that alter the physiological pH of the vagina); urinate regularly every 2-3 hours and after intercourse; reduce consumption of alcoholic beverages, coffee and tobacco; Avoid constipation (high-fiber diet); wear cotton underwear; changing wet bathing suits; do not wear tight clothing; And most importantly, do not take antibiotics without a doctor’s prescription.
Regarding the standard treatment for cystitis, this doctor points out that it is the administration of a single dose or a short regimen (1-3 days) of fosfomycin, amyxicillin/clavulamic or quinolones. “They should always be performed under medical supervision, avoiding self-medication. We recommend increasing water intake and controlling the risk factors described to promote healing. If the upper urinary tract is involved, the duration of antibiotic treatment is 7 to 21 days,” he clarifies.
For recurrent infections, the urologist says that we can use autovaccines or intravesical instillations with hyaluronic acid or chondrotin sulfate, but they should always be done under the guidance of a urologist.
“Recurrence of UTIs is very common (10-20%). There are several reasons for this, such as the lack of knowledge about the existence of predisposing factors, which we have already mentioned. They can be caused by the same germ or by using an inappropriate antibiotic,” adds.
Sometimes this doctor claims that reinfections can occur even after the completion of treatment, the most common causes being: sexual activity, lack of estrogen during menopause, pelvic floor disorders (incontinence, cystoceles, etc.).