Recurrent urinary tract infections are a condition that requires detailed examination and treatment.
Vesicoureteral reflux (VUR), which is called bladder leakage, especially in pediatric patients, small bladder, urinary tract stenosis coming from the kidney (UPJ Stenosis), kidney stone diseases, bladder stones, spinal damage and neurogenic bladder, hydrocephalus, meningomyelocele, spinal cord nerve development deficiency such as neural tube defect, weak immune system, anatomical disorder of the lower urinary tract, closed vaginal opening in girls, diabetes (Type I). Many conditions such as DM), megaureter, ureterocele, neonatal hydronephrosis, kidney enlargement, horseshoe kidney, small size of one kidney and having a single kidney cause recurrent and common urinary tract infections, and when diagnosed early, both kidneys can be saved before damage develops. For these reasons, it is very important.
What are the symptoms?
-Burning while urinating -High fever -Pain in the groin -Urinary incontinence -Abdominal pain -Side pain -Weakness
Which examinations should be performed?
1-First of all, after being examined by the urologist, urine analysis and urine culture should be examined in a sterile environment.
2 - Kidney, bladder and ureters should be evaluated with ultrasonography.
3-In terms of kidney functions, urea, creatinine, blood salt ratio, that is, sodium, potassium, calcium, phosphorus, magnesium, uric acid, albumin and total protein levels should be observed.
4- In terms of the degree of infection, blood hemogram, CRP, sedimentation, and blood culture when the fever is high are important in terms of response to treatment in cases that require serious monitoring of the situation.
How should the treatment be? ?
After these tests are performed, antibiotic treatment should be continued or changed according to the culture results. The factor causing the infection must be eliminated. For example; The bladder stone should be removed from a patient with bladder stones, the bladder capacity of a patient with a small bladder should be increased with medical and surgical treatments, if there is stenosis in the urinary ducts, it should be opened with a closed method, additional diseases such as Diabetes mellitus should be treated quickly and regularly.
Recurrent urinary tract infections that are not examined and treated during childhood cause kidney damage in the early period and cause kidney loss in patients, as well as developmental delay, need for dialysis, and sometimes early child deaths. For these reasons, recurrent urinary tract infections are a condition that requires detailed examination and treatment.
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