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The Curbsiders Internal Medicine Podcast

#434: Ur-INe for Recurrent UTI?! with Dr. Kellen Choi, DO AKA The Bladder Teacher

Apr 8, 2024
Dr. Kellen Choi, The Bladder Teacher from the University of Kentucky, discusses the complexities of urinary tract infections (UTIs), the importance of hydration, non-antibiotic prophylaxis, vaginal estrogen, and pelvic floor physical therapy. She explores managing UTIs in post-menopausal patients with breast cancer and immunocompromised patients. The conversation also covers differential diagnoses for UTI-like symptoms and the role of pelvic floor dysfunction in genitourinary health.
01:02:40

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Proper diagnosis crucial for recurrent UTIs, requiring urine analysis and culture confirmation.
  • Lifestyle changes like hydration, bowel habits, and vaginal health help manage UTIs.

Deep dives

Importance of Proper Diagnosis and Follow-up for Recurrent UTIs

Proper diagnosis and follow-up are essential for patients experiencing recurrent UTIs. Guidelines recommend careful assessment, including urine analysis and culture to confirm UTI episodes. Differentiating between uncomplicated and complicated UTIs helps determine appropriate treatment plans based on patient characteristics, previous UTI history, and potential underlying conditions.

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