Adult Urinary Tract Infection

Adult urinary tract infections(UTI) can be common in women while infections in men are rare.  Urinary tract infections often abbreviated UTI, occur when an overgrowth of bacteria starts affecting the function and biochemistry of the bladder wall and muscles of the bladder.

Adult Urinary Tract Infections Causes

Common symptoms of a UTI include increased frequency of urination, increasing urgency of urination, voiding or leaking at night, blood in your urine, pain with urination, pain along the lower abdomen, and in rare or worsening conditions fevers, chills, and pain that radiates up to the back. If the infection of the urinary tract spreads to the kidneys this is sometimes referred to as pyelonephritis.  Further progression to a blood infection can be very dangerous and is also called bacteremia.  A vast majority of bladder infections will improve without treatment, though this may be uncomfortable for many days.


Several years ago treatment for urinary tract infections required less planning.  Bacteria in the bladder almost universally responded to antibiotics over a short course of days and the sufferers were able to return to their usual daily lives free of pain or bladder irritation.  As bacteria have become more resistant to the usual antibiotics, treating urinary tract infections has become increasingly more complicated for providers as well as for the patients they care for.   Often patients are faced with the difficult decisions of using medications with potentially dangerous side effects versus allowing an infection to progress unchecked.

Many UTIs can be treated by a local primary care provider.  But for some individuals, urinary tract infections become more difficult to treat.   If these infections become more severe or recurrent, they may require a specialist to evaluate potential causes and ways to prevent these troublesome infections in the future.


This is why many providers at Adult and Pediatric Urology and Urogynecology like to see you in person for the treatment of a urinary tract infection.  This allows for accurate urine sample gathering and testing, and discussion of the potential risks and benefits of such treatment.

At Adult and Pediatric Urology and Urogynecology, we want to hear about your symptoms and find any triggers for infections, if they exist.  Some patients note more infections with travel, exercise, sexual encounters, or stress at work.

We look diligently through the patient’s medical history, surgical history, and allergies to find treatment options.   Often we perform imaging and diagnostic testing to find any potential cause for your urinary tract infection and potentially improve your risk for future infections.  These investigations often but do not always include imaging of the kidneys and looking inside the bladder for potential reasons for the infections.  Oftentimes these investigations do not demonstrate a clear cause for infection.

In these cases, we can discuss continued strategies to mitigate the risk of future infections.  These treatments may include medications or behavioral changes.  In some cases, small procedures to help empty the bladder may also drastically improve your risk of a urinary tract infection.  For men, this may involve prostate surgeries that can be performed as same-day surgery.

If you have struggled with more than 3 infections a year, two infections in 6 months, or you are a man with even 1 urinary tract infection you should consider discussing this with one of our specialists or with your primary doctor.

Contact one of our UTI Omaha or Council Bluffs specialists today.

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