Recurrent UTI (Urinary Tract Infection) Lecture

What other pain in the body do we not examine? I argue that the pelvic exam is extremely underutilized in the evaluation of recurrent urinary tract infection.
How do we actually define a UTI?
How to intelligently interpret the UA and only use this as a screening test. The Urine Culture is necessary to confirm the infection and that the presenting symptom is actually due to a bacteria.
What is the recommendation for an acute UTI by the Infectious Disease Society?
What do you do when people have multiple antibiotic allergies?
Behavioral strategies to reduce UTIs.
How we can change our gut microbe and change our UTI risk.
How your vaginal health affects your UTI risk.
How your microbiome affects your UTI risk.
How the post menopausal state increases the risk for UTI.
Therapeutic interventions for UTI: suppressive antibiotics and the risks associated with antibiotics.
Does cranberry work? How about Vitamin C? Any prescription preventative measures? UTI Options.
When is a cystoscopy a good idea in the workup of a UTI?
Antibiotic stewardship
Look at the “owie” – Other things that mask as UTI
How Dr. Casperson works up a patient with recurrent UTI

[jjbud]

I have recurrent UTI's and I am NOT dehydrated. I drink constantly all day long. The first sign I usually get of a UTI is a strong odor which evolves into burning soon after on urinating, constant feeling I have to go, and a heavy sensation in the pelvis.

[heatherdearman]

I am so grateful for Dr. Casperson!!! I can't express how incredibly informative her videos are and how much I've learned from the content she's shared. Women's health education is so important and I've become passionate about it. Thank you!

[funkymonkey]

As someone who is finally trying to figure out why I have recurrent UTIs - I feel empowered by your presentation! Thank you so much.

[nessipatinio]

I like her, she’s so positive, funny and yet very knowledgeable on the matter, she talks with authority that doesn’t frighten. She’s simply amazing!

[LauraEllen]

Wish all docs were like this one! Self empowerment is rarely taught in a doctors office.

[thenatureremedy_]

This was extremely helpful, and I love her sense humour.

[evolty]

This is super helpful. I don’t have reoccurring UTI’s but just finished antibiotics for an abscess. And I got waxed amongst other things. For vitamin c, I took 3oz of fresh acerola juice and a 16oz bottle of kombucha. The next morning I felt closer to normal. I wish more doctors were this transparent and easy to understand. Thank you 💕💕💕

[Reilly.]

This video is a blessing thank you so much this gives me so much insight as a person who struggles with a verity of women’s issues. I really can’t wait to see my urogyno on the 12th I feel like I’m going to cry of happiness walking in there finally after years of dealing with this.

[barfgreenrulz]

I had 10 UTIs in the last 1.5 years, probably caused by chronic constipation. E.coli culture showed a couple of times, and I got BV (also E.coli) and yeast infections when I wasn’t on antibiotics. After developing a very meticulous washing routine after sex, I saw my symptoms change over the course of the year and got less painful. I was able to manage it with D mannose, probiotics, and now I believe I need to lay off the alcohol as well as reduce flour intake to feel even better.

The pooping on a consistent basis is a great reminder! I also drink lemon water and urine alkalinizers from Uqora. I avoid antibiotics like the plague, just because the pain isn’t so great anymore.

[violettabicycletta]

What an adorable personality ! Thank you for the valuable info from a woman doctor !.

[aprilmichellerose]

I’m so sick of having UTIs like every month. After back surgery I have to self cath and that makes me more prone to them.

[judithenglish]

What an amazing urologist. And I found simple things to try, because my microbiome wishes me to avoid antibiotics! So, lots of water, vitamin C, perhaps vaginal estrogen, and then I'll see how things go. Thank you so much.

Update: my infection eventually got worse and I was becoming alarmed. I eventually asked my doctor if I could try nitrofurantoin, an older antibiotic that works primarily in the bladder, and has minimal effects on the gut microbiome. And it worked!! Such a relief. And my gut seemed unaffected. Apparently it's prescribed less often because you have to take it twice a day for up to a week. But it's well worth it for me

[ncayoung]

Thanks so much, Dr. Casperson, for this lecture. So informative.

[Dianamquiroz]

I have crohns disease and do not like to take antibiotics. I watched this video for some tips on how to deal with reoccurring uti's. I started using the D-mannos powder form. 1 tsp (2000mg) 2 times per day. It took care of my bladder infection in 2 days. Relief 8 hours after the first dose.
If you have to you may use it as a maintenance dose as well. I also drank lots of water to flush out the bacteria. It is definitely worth a try.

[moiraberniegatt]

Excellent presentation for a 64 year old female retired nurse with chronic infections every 3 weeks (basically as the bacteria build up from antibiotics). I do all of the proactive strategies but I have a triple pelvic floor prolaps with urethral opening stretched wide and internal tissue exposed. I weigh 112lbs and always do jegal exercises. I get about 3 hours relief from sodium citrate but you can only use it for 2 days at a time. WHAT if anything can I do until covid allows for prolapse surgery? I would love for you to have made it more informative on the menopausal woman. Perhaps a second video? I use estrodial pil l in the vagina twice a week. No use. 😰 The vulval pain and bladder ache is miserable. The freezing and sweating is miserable. The relief after a 7 day course of antibiotics is lovely. Thanks

[jerryfields]

I like the way this Doctor minimizes the problem of recurrent UTIs and jokes about sending them out for useless procedures. She is indicative of the problem that women are having with uncaring care givers.

[eliseschwimer]

I suffered from UTIs for 37 years had at least 7 a year. I was on antibiotics all those years. She discussed Methenamine/Hiprex & Vitamin C this changed my life. I researched further. The Methenamine and the high dose of Vitamin C/probiotics made the difference. I had seen countless specialists over the years and they never mentioned this. I asked my most recent urologist about it and she was willing to write it. It's the answer to solve UTIs along with some of the other obvious things. I give the Methenamine/Hiprex the full credit.

[christinapirrone]

I want to be empowered with knowledge! I love when doctors give me knowledge! I have reoccurring UTIs and I enjoyed this video. I don't want to take antibiotics because I work so hard on having a healthy gut!
My questions are: 1. Is the bladder supposed to be an acidic organ or alkaline? 2. Is having UTI issues during ovulation give me a clue that my estrogen levels are bouncing too high? So do I see an urologist or my gyno? 3. How often is medication the issue to occurring UTIs? (I have RRMS and take Vumerity). 4. Is low bile function possibly linked as well? And I ask because you did talk about poop a bit. Low bile can cause a fattier, greasy stool.

[fae]

What about biofilms when cultures come back negative but they are symptomatic? This is my issue now for the past month+

[barbarabancroft]

What about pseudomonas bacteria in bladder? I have been plagued with UTIs and diagnosed with interstitial cystitis ! No relief to date! Any suggestions ? Believe me after three years have tried everything‼️😪