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Sunday, December 8, 2013
Urinary and Genital Disorders (Children)
Constant UTI in a 7 year old female
7 year old female has history of constant reoccuring UTI`s. She has UTI every month or so. She has also had bladder infection associated with last UTI. She uses proper cleansing technique, drinks plenty of water, has restricted sugar intake. We have been making sure she uses the restroom every couple of hours so the possibility of urine retention is decreased. What additional steps can we take? Her doctor said her UTI`s are probably caused by wiping incorrectly, holding her urine too long and high sugar intake, but after all of these were addressed she still continues with monthly infections. I am requesting a consult with a urologist but do not know what questions to ask. Help!
This is a complicated question. There are many factors that may contribute to recurrent UTI, including incomplete bladder emptying, constipation, abnormal urinary flow, and anatomic abnormalities. However, none of these are serious problems and generally treatment is successful. It sounds like a complete evaluation by a pediatric urologist is necessary.
Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University