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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Urinary Tract Infections?

I am a 47 year old male. I keep getting urinary tract infections. I get about three to four UTI s a year. I have a cervical neck fusion and suffer from cervical stenosis. My last MRI showed canal narrowing at c2, c3, and c4. Can the pressure on my spinal cord be causing the urinary tract infections? Because I was told that the spinal cord controls the organs.
Mon, 20 Nov 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern.

1. Yes, spinal disorders or injuries that cause nerve compression and damage may cause Neurogenic Bladder Disorder {NBD}, also called as Bladder dysfunction. [i.e. they may cause the bladder to be overactive or underactive]

PS. If the cause is definitely NBD then the treatment depends on the cause of NBD, as such a urologist, nephrologist, or urogynecologist to coordinate patient care throughout treatment is advisable.
- When bladder dysfunction is caused by a spinal nerve root compression, spine surgery is performed to decompress (take pressure off) the nerves (eg, discectomy).

2. However, with recurrent UTI, one has to exclude the following causes before thinking on the line of NBD,

i. As the symptoms are recurrent so one has to exclude risk factors for complicated urinary tract infections. [as might be the case for you], which may impede urine flow like congenital urinary tract abnormalities, enlarged prostate, and inflammation.

ii. according to the Journal of American Family Physician: Patients at risk of complicated urinary tract infections are best managed with
-broad-spectrum antibiotics initially,
- urine culture to guide subsequent therapy, and
- renal imaging studies if structural abnormalities are suspected.

. Other predisposing factors which can be considered are any immunosuppression, diabetes, chronic kidney disease [CKD].

PS. Patients with recurrent UTIs should be counseled about risk factors such as spermicide use, frequent sexual intercourse, and new sex partners.
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What Causes Recurrent Urinary Tract Infections?

** Thanks for contacting with your health concern. 1. Yes, spinal disorders or injuries that cause nerve compression and damage may cause Neurogenic Bladder Disorder {NBD}, also called as Bladder dysfunction. [i.e. they may cause the bladder to be overactive or underactive] PS. If the cause is definitely NBD then the treatment depends on the cause of NBD, as such a urologist, nephrologist, or urogynecologist to coordinate patient care throughout treatment is advisable. - When bladder dysfunction is caused by a spinal nerve root compression, spine surgery is performed to decompress (take pressure off) the nerves (eg, discectomy). 2. However, with recurrent UTI, one has to exclude the following causes before thinking on the line of NBD, i. As the symptoms are recurrent so one has to exclude risk factors for complicated urinary tract infections. [as might be the case for you], which may impede urine flow like congenital urinary tract abnormalities, enlarged prostate, and inflammation. ii. according to the Journal of American Family Physician: Patients at risk of complicated urinary tract infections are best managed with -broad-spectrum antibiotics initially, - urine culture to guide subsequent therapy, and - renal imaging studies if structural abnormalities are suspected. . Other predisposing factors which can be considered are any immunosuppression, diabetes, chronic kidney disease [CKD]. PS. Patients with recurrent UTIs should be counseled about risk factors such as spermicide use, frequent sexual intercourse, and new sex partners.