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What Are The Precautions To Be Taken To Prevent Recurring UTIs?

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Posted on Tue, 4 Aug 2015
Question: I just had minimally-invasive aortic valve replacement surgery (16 XXXXXXX 2015); damaged valve replaced with animal valve. I was almost asymptomatic except for extreme fatigue and some swelling in my ankles. One doctor asked did I know I had a "heart murmer." That question sent me to a cardiologist who diagnosed through an echocardiogram that I had aortic valve stenosis. MY QUESTION: How do I go forward to deal with infections—especially UTIs that are also mostly asymptomatic for me—and dental procedures. Please Note that I had the 'bladder sling' sugery about 10 years ago, and have had UTI problems ever since. My family doctor has often NOT prescribed antibiotics when I knew I needed them, leaving me to fight off some pretty major infections on my own. My heart surgeon almost made me feel bad for having this surgery after I told him I often have UTIs and dental problems and never know it. Said I was endangering my brand new pig valve. Well, I suppose, BUT my cardiologist said it was a good thing I had this surgery because my heart had adapted just about as much as it could (whatever that means). SECOND QUESTION: Do I need to get a better urologist and family doctor who will pay attention to MY particulars?
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Answered by Dr. Benard Shehu (2 hours later)
Brief Answer:
Following advice...

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

You should deal with "great care" both dental and urinary tract infection, with personal hygiene, antibiotics and proper medical follow up (from your urologist, dentist and family doctor).

Please keep in mind that oral or urogenital infection may cause bacterial endocarditis and further damage of the biological (animal) aortic valve. This is why you should start immediately antibiotics (prophylactic use of antibiotics) for every urogenital or oral infection.

If your urologists (or family doctor) refuse to start immediately antibiotics, than you should change your doctor (urologist or family doctor).

Hope this was of help!
Wish you health!
Dr. Shehu
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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What Are The Precautions To Be Taken To Prevent Recurring UTIs?

Brief Answer: Following advice... Detailed Answer: Hi and thank you for asking! I read your query and understood your concerns. You should deal with "great care" both dental and urinary tract infection, with personal hygiene, antibiotics and proper medical follow up (from your urologist, dentist and family doctor). Please keep in mind that oral or urogenital infection may cause bacterial endocarditis and further damage of the biological (animal) aortic valve. This is why you should start immediately antibiotics (prophylactic use of antibiotics) for every urogenital or oral infection. If your urologists (or family doctor) refuse to start immediately antibiotics, than you should change your doctor (urologist or family doctor). Hope this was of help! Wish you health! Dr. Shehu