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Recurrent Urinary Tract Infections (UTIs)

Fore River Urology – Prompt, Personalized Urologic Care in Maine

What is a Urinary Tract Infection (UTI)?

A urinary tract infection (UTI) is a bacterial infection that can affect any part of the urinary system—including the kidneys, ureters, bladder, or urethra. The most common type of UTI is a bladder infection.


What Causes a Urinary Tract Infection?

UTIs are often caused by bacteria entering the urinary tract. Common causes and risk factors include:

  • Sexual activity

  • High blood sugar (diabetes)

  • Menopause

  • Pregnancy

  • Kidney stones

  • Enlarged prostate

  • Weak immune system

  • Bedrest or recent surgery

  • Use of urinary catheters

UTIs are more common in women. In fact, studies show that 60% of women will experience a UTI in their lifetime, and 20–40% will have recurrent infections.


How to Prevent a UTI

You can lower your risk of developing a UTI with the following prevention strategies:

  • Stay hydrated: Drink water throughout the day to flush out bacteria.

  • Urinate frequently: Don’t hold it in—empty your bladder every 3–4 hours.

  • Practice proper hygiene: Wipe from front to back.

  • Avoid certain birth control methods: Spermicidal foams and diaphragms may increase UTI risk.

  • Prevent constipation: Regular bowel movements help reduce bladder pressure.


When to Contact a Doctor

See a urologist or primary care provider if you experience any of these UTI symptoms:

  • Pain or burning during urination

  • Frequent urge to urinate, even when the bladder is empty

  • Cloudy, bloody, or foul-smelling urine

  • Pain in the lower back, bladder, or pelvic region


How Are UTIs Treated?

UTIs are typically treated with antibiotics:

  • Simple UTIs: Treated with a short 3–5 day antibiotic course.

  • Complicated UTIs: May require longer treatment or IV antibiotics in severe cases.

Always finish the full course of antibiotics, even if symptoms improve.

What Are Recurrent UTIs?

Recurrent UTIs are defined as 2 or more infections within 6 months or 3 or more within a year. These can significantly affect daily life and may signal an underlying issue.

Fast, Accurate Diagnosis

We prioritize rapid care with same-day appointments during the week (for established patients). Our practice uses cutting-edge technology to return urine culture results in as little as 24 hours, far faster than traditional 3-day methods.

Common Causes of Recurrent UTIs

  • Incomplete bladder emptying
  • Postmenopausal changes
  • Sexual activity
  • Bladder/kidney stones
  • Urinary tract abnormalities
  • Weakened immune system or diabetes

Diagnostic Tests for Recurrent UTIs

  1. Urinalysis and Urine Culture

    • Detects presence of bacteria, white blood cells, and other markers of infection.

    • At Fore River Urology, we offer cutting-edge technology to return culture results within 24 hours, faster than the traditional 3-day turnaround.

  2. Post-Void Residual (PVR) Measurement

    • Uses ultrasound to determine how much urine remains in the bladder after urination, which can indicate poor bladder emptying.

  3. Cystoscopy

    • A thin camera is inserted into the bladder to visually examine the bladder lining and rule out stones, tumors, or structural abnormalities.

  4. Imaging Tests (e.g., Renal Ultrasound or CT Urogram)

    • Help detect anatomic abnormalities, kidney stones, or other upper urinary tract issues.

  5. Urodynamics (in select cases)

    • Measures bladder pressure and function to assess for voiding dysfunction.

These tests help tailor a personalized prevention and treatment plan to reduce future infections.

Prevention Strategies

  • Stay well-hydrated (1.5L per day)
  • Urinate after intercourse
  • Avoid irritating hygiene products
  • Consider vaginal estrogen for postmenopausal women
  • Cranberry supplements or D-mannose (in select cases)
  • Prophylactic or postcoital antibiotics when appropriate

Get Relief Today

Fore River Urology provides expert, compassionate care for those dealing with recurrent UTIs. We tailor prevention and treatment to your needs.

Request an appointment online or call 207-518-6600.