13 doctors weighed in:

3mo ago hospitalized for broken pelvis, catheter caused uti. Then rehab for a month, another uti. Two more. All 4 treated. First ones in my life. Why?

13 doctors weighed in
Dr. John Leander Po
Internal Medicine - Infectious Disease
5 doctors agree

In brief: Maybe UTI, maybe not

Normally, the human urinary system is designed to 1) flow one way (i.
e. Out) and 2) completely empty the bladder. The catheter can cause a "back wash" of urine (with bacteria) into the bladder. Now, if the diagnosis is based solely on WBC in the urine, then it may not be a UTI but rather, a pyuria due to irritation of the bladder by the balloon that keeps the catheter in place.

In brief: Maybe UTI, maybe not

Normally, the human urinary system is designed to 1) flow one way (i.
e. Out) and 2) completely empty the bladder. The catheter can cause a "back wash" of urine (with bacteria) into the bladder. Now, if the diagnosis is based solely on WBC in the urine, then it may not be a UTI but rather, a pyuria due to irritation of the bladder by the balloon that keeps the catheter in place.
Dr. John Leander Po
Dr. John Leander Po
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Dr. Slade Suchecki
Family Medicine
5 doctors agree

In brief: Bacteria

We live with bacteria and coexist peacefully.
Urine should move out of the body - one direction. If there is back flow or break in the barrier, bacteria will migrate where it does not belong. Same reason women should void after intercourse. Also women are more prone due to short distance of urethra vs men (longer urethra). Whereas catheters in men, there is same likelihood for infection.

In brief: Bacteria

We live with bacteria and coexist peacefully.
Urine should move out of the body - one direction. If there is back flow or break in the barrier, bacteria will migrate where it does not belong. Same reason women should void after intercourse. Also women are more prone due to short distance of urethra vs men (longer urethra). Whereas catheters in men, there is same likelihood for infection.
Dr. Slade Suchecki
Dr. Slade Suchecki
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Dr. George Klauber
Pediatrics - Urology
1 doctor agrees

In brief: Catheter UTI ?stone

Shame you neede prolonged catheterization because everyone will get UTI with indwelling catheter after 1-2 weeks in spite of antibiotics.
Prolonged bed rest and immobilization -> calcium loss from bones which in turn can -> bladder stones. Stones containing bacteria lead to recurrent utis, meds can't kill them + have to be removed. Plain pelvic x-ray can demonstrate stoes. Please see a urologist.

In brief: Catheter UTI ?stone

Shame you neede prolonged catheterization because everyone will get UTI with indwelling catheter after 1-2 weeks in spite of antibiotics.
Prolonged bed rest and immobilization -> calcium loss from bones which in turn can -> bladder stones. Stones containing bacteria lead to recurrent utis, meds can't kill them + have to be removed. Plain pelvic x-ray can demonstrate stoes. Please see a urologist.
Dr. George Klauber
Dr. George Klauber
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Dr. Albert Pizzo
Family Medicine
1 doctor agrees

In brief: UTIs

Not unusual to start having utis after catheter use and instrumentation.
The pelvic injury set you up for problems. It is important to discuss preventive measures with your primary care doctor and your urologist, to stop these infections from recurring.

In brief: UTIs

Not unusual to start having utis after catheter use and instrumentation.
The pelvic injury set you up for problems. It is important to discuss preventive measures with your primary care doctor and your urologist, to stop these infections from recurring.
Dr. Albert Pizzo
Dr. Albert Pizzo
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In brief: Many reasons

Having had a catheter as well as being in a hospital and rehab setting all put you at greater risk for uti.
Pelvic trauma put you at risk for having had an injury to the urinary tract (especially the bladder and urethra). It is important to know if you still have a catheter as a result of this type of injury as this will impact on the management.

In brief: Many reasons

Having had a catheter as well as being in a hospital and rehab setting all put you at greater risk for uti.
Pelvic trauma put you at risk for having had an injury to the urinary tract (especially the bladder and urethra). It is important to know if you still have a catheter as a result of this type of injury as this will impact on the management.
Dr. Howard Adler
Dr. Howard Adler
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