Beyond the Symptoms | An Expert Interview Series by LUF | Live UTI Free

Host Melissa Kramer, founder of Live UTI Free, interviews Dr. Brianne Grogan, a pelvic health expert on Chronic UTI, Pelvic Floor Dysfunction, & Bladder Health.Dr. Grogan shares her personal journey with pelvic organ prolapse, demystifies the role of pelvic floor muscles in urinary function, and provides practical, body-positive strategies for managing symptoms that often accompany recurrent UTI, such as pelvic tension, incomplete bladder emptying, and discomfort during urination.Together, Melissa and Dr. Grogan explore how movement, posture, breathing, and daily habits can significantly impact pelvic floor performance and overall urinary wellness, especially for those navigating complex or ongoing bladder conditions.What You’ll Learn in This Episode:Why symptoms of chronic UTI or recurrent UTI can persist even after tests show no infection—and how pelvic floor tension may be the missing linkThe impact of posture, breathwork, and core muscle coordination on pelvic floor health and long-term bladder reliefHow intentional, gentle movement can aid recovery and support the bladder during symptom flare-upsDr. Grogan’s insights into balancing pelvic strength and relaxation for improved urinary outcomesWant to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer, founder of Live UTI Free, interviews Dr. Sachin Malde, a consultant urologist with a specialist focus in functional urology, chronic urinary tract infections (UTIs), and bladder pain syndrome, on bladder instillations for chronic and recurrent UTIs.The discussion explores an increasingly common treatment for those living with chronic UTI and recurrent urinary symptoms: bladder instillations. Dr. Malde explains the science behind intravesical therapy, outlining antibiotic and non-antibiotic bladder instillation options, and how these can relieve symptoms while reducing reliance on long-term oral antibiotics.The episode provides insight into how bladder instillations are used in clinical practice, including the potential for self-administered treatments at home. What You'll Learn in This Episode:Why bladder instillations may be safer and more effective than repeated oral antibiotics for chronic UTI treatmentThe differences between antibiotic and non-antibiotic bladder instillations and how to determine which might be appropriate for your symptomsHow to manage at-home bladder instillations, including tips on treatment frequency, comfort, and resultsWant to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer Interviews Alina Filipe, a leading pelvic floor physiotherapist, on Chronic UTIs and Bladder Health.Together, they explore the overlooked connection between pelvic floor dysfunction and chronic urinary tract infections, offering practical, evidence-informed insights to help listeners find relief when antibiotics alone aren’t enough.If you’re frustrated by recurring UTIs, lingering symptoms, or want to understand better the anatomy that affects your bladder health, this episode is essential listening.Key Takeaways from This Episode:Did you know that not fully relaxing your pelvic floor while urinating can increase the risk of a UTI? As Alina points out, “If you're not completely relaxing your pelvic floor, it’s easier to leave some urine behind, which raises your chances of a UTI.”Pelvic floor health is about balance, not just strengthening. Alina emphasizes that pelvic floor physiotherapy goes beyond trigger points, addressing hydration, bowel regularity, sexual function, and hygiene practices that may worsen symptoms.If UTI symptoms persist after treatment, your pelvic floor may be contributing to the discomfort. “The pelvic floor can become sensitized,” explains Alina, highlighting how nerve irritation and muscle tension can mimic infection symptoms without bacteria. The episode covers gentle techniques to reset the pelvic floor and break the cycle of pain and misdiagnosis.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer Interviews Dr. Michael Hsieh, a leading expert in recurrent urinary tract infections (UTIs), bladder health, and urology, to unpack the truth about chronic UTI testing and bladder health.Dr. Hsieh dives deep into the reliability of standard UTI tests and why they may often present false negatives, especially in people suffering from chronic UTI symptoms. Together, they explore emerging research, the hidden causes of persistent urinary symptoms, and innovative, science-backed alternatives to traditional treatments. Whether you're navigating recurrent UTIs, battling a chronic bladder infection, or seeking preventive strategies, this episode is packed with invaluable insights for anyone serious about understanding and improving their urinary tract health.Three Key Takeaways:Conventional urine cultures often miss infections. Dr. Hsieh explains the science behind negative UTI test results despite persistent symptoms and how newer methods may offer better detection for chronic UTI sufferers.Explore options like bladder instillations, which deliver medication directly into the bladder, offering targeted relief for recurrent UTIs without over-relying on systemic antibiotics.Simple but powerful changes—like increased water intake, urinary habits, and even dietary shifts—can support long-term bladder health and reduce the risk of recurring infections.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer Interviews Dr. Sula Windgassen, a renowned health psychologist and expert in the psychology of chronic illness, on the Mind-Body Connection in Chronic UTI Healing.Dr. Windgassen opens up about her personal journey with recurrent UTIs and shares how integrating psychological strategies transformed her approach to bladder health and symptom management. This episode delves into the critical yet often overlooked mind-body connection in chronic illness, especially in those navigating chronic UTIs.Together, Melissa and Dr. Windgassen discuss practical tools for managing anxiety, coping with symptom flare-ups, and maintaining emotional well-being while living with persistent health issues.What You’ll Learn in This Episode:How Stress Impacts Chronic Illness. Discover how hypervigilance and stress can amplify symptoms of chronic UTI and other health conditions—and how mindfulness techniques can rewire your brain’s response to pain.The 4-2-6 Breathing Technique. Learn a simple, science-backed breathing method that helps calm your nervous system, reduce anxiety during UTI flare-ups, and shift focus from discomfort to healing.Navigating Relationships While Living With Recurrent UTIs. Get expert tips on how to communicate with loved ones about your condition, set boundaries, and rebuild connection—essential tools for emotional and relational resilience.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer Interviews Dr. Stewart Bundrick, a renowned specialist in recurrent urinary tract infections (UTIs) and bladder health, on Chronic UTI & Bladder HealthIn this compelling episode, Dr. Stewart, who has decades of experience treating chronic UTIs, challenges outdated treatment models and highlights why many patients continue to suffer without lasting relief.If you're navigating the frustrating cycle of recurrent UTIs or have been diagnosed with Interstitial Cystitis (IC), this episode explores overlooked root causes and alternative treatment strategies that could offer you clarity and hope.Key Topics Covered:How Chronic UTIs Can Persist Dr. Bundrick explains how bacteria can become embedded inside bladder cells, making them resistant to standard treatments.Why Standard Tests Often Miss Infections Learn how traditional urine cultures may fail to detect intracellular or biofilm-based infections, and why symptom-based diagnosis is critical.Long-Term Treatment Protocols Explore why treating chronic UTIs may require extended antibiotic courses—sometimes lasting a year or more—for full eradication.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer speaks to Dr. Angelish Kumar, board-certified urologist and founder of Women's Urology New York, in a powerful continuation of their discussion on chronic UTI, recurrent UTI, and overall bladder health.Dr. Kumar shares her clinical insights into diagnosing and managing persistent urinary symptoms, pelvic floor dysfunction, and long-term bladder inflammation. This episode offers practical guidance to help you determine whether your symptoms stem from an ongoing infection or post-infection inflammation, and explores multi-modal strategies to finally break the cycle of recurring UTIs. Key Takeaways:Uncover hidden infections: Learn how diagnostic tools like cystoscopy and advanced urine testing can detect embedded bacteria and bladder wall inflammation that standard tests often overlook.Healing beyond antibiotics: Understand why managing chronic UTIs involves more than just prescriptions—considering approaches like cranberry extract, vaginal estrogen therapy, D-mannose, and bladder lining support.Bladder-pelvic floor connection: Discover the link between recurrent UTIs and pelvic floor dysfunction, and why pelvic floor physical therapy may outperform antibiotics for some patients.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer Interviews Dr. Angelish Kumar, a urologist and founder of Women's Urology New York, on Chronic UTI, Bladder Health, and Recurrent InfectionsDr. Kumar unpacks why standard UTI tests frequently fail to detect infections and how advanced diagnostics like PCR testing are reshaping how we understand and treat persistent symptoms. This episode is a must-listen for anyone confused about recurring infections, misdiagnoses, or ongoing urinary symptoms that don’t align with conventional lab results.Key Takeaways:Why traditional UTI testing often misses infections—and how molecular diagnostics like PCR can provide clearer answers.How the bladder microbiome functions, and why eliminating all bacteria isn’t necessarily the path to better bladder health.The role of overlooked conditions such as Skene’s gland infections or pelvic floor dysfunction in persistent urinary symptoms—and why they require different treatment approaches.Tips for advocating for comprehensive care, especially when standard approaches fall short.This conversation offers much-needed clarity for those navigating chronic UTI, recurrent UTI, or unresolved urinary symptoms—and provides practical insights into more personalized, effective care.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

Host Melissa Kramer interviews Professor James Malone-Lee on chronic UTI recovery, recurrent UTI treatment protocols, and how symptom flares can be part of long-term bladder health healing.Chronic UTI recovery is rarely linear, and symptom flare-ups during treatment don't always signal failure. In this enlightening conversation, Professor Malone-Lee, who was a leading voice in urinary tract infection research, explains why symptoms may fluctuate and how a science-backed approach can dramatically improve outcomes for those living with recurrent UTIs and chronic bladder health issues.The episode dives into how modern treatment protocols, grounded in decades of research, are helping patients find relief, even after years of misdiagnosis or ineffective care.Listen now to understand how recovery can involve ups and downs—and why staying the course matters.Key Takeaways from the Episode:Symptom flares don’t mean failure—they’re part of the process: Recovery from chronic urinary tract infections often follows a “damped oscillation” pattern. This means symptom flare-ups may occur but should reduce frequency and intensity over time, signaling healing rather than relapse.Effective treatment requires precision and persistence: Antibiotic therapy for chronic UTI must be carefully dosed and often involve specific combinations to reach bacteria embedded deep in bladder tissue. One-size-fits-all treatments often fail to eradicate these hidden infections.Standardized protocols outperform outdated methods: Professor Malone-Lee explains why evidence-based protocols, rather than culture-based diagnostics, are delivering better results for chronic UTI and recurrent UTI patients. Personalized, protocol-driven treatment improves both short- and long-term bladder health outcomes.Want to learn more about urinary health? Visit LiveUTIFree.com for expert articles on the latest research, or check out our YouTube channel if you prefer video format.

In this enlightening discussion, Professor James Malone-Lee, a prominent UTI specialist, reveals the hidden complexities of recurrent urinary tract infections. He uncovers how bacteria can evade detection by embedding themselves in bladder cells, leading to persistent symptoms despite negative tests. Malone-Lee advocates for personalized, long-term treatment strategies and challenges traditional short-course approaches. He emphasizes that flare-ups can actually indicate healing progress, reshaping our understanding of chronic UTI management.