UTI

David Shusterman, MD -  - Kidney Stone Specialist

NY Urology

David Shusterman, MD

Kidney Stone Specialist & Nephrologist located in Manhattan, New York, NY & Forest Hills, NY

UTI Specialist
As a board certified specialist in urology, Dr. David Shusterman at NY Urology -- with locations in both Forest Hills and New York City, New York -- diagnoses and treats problems that affect both men and women such as urinary tract infections (UTI). UTIs are often painful, and sometimes chronic, meaning they occur again and again until you get help from a specialist. If you’re suffering from this condition, make an appointment with Dr. Shusterman as soon as you can, either online or by phone.

Urinary Tract Infection

by David Shusterman, MD

What is a Urinary Tract Infection?

A UTI, or urinary tract infection, is an infection, usually bacterial, in any part of the urinary tract. It is a blanket term that covers different areas including the:

  • Ureters
  • Kidneys
  • Bladder
  • Urethra

Any one of these critical elements is prone to infection, which can come with serious consequences if left untreated.

What are the symptoms of a UTI?

The symptoms vary; in fact, there aren’t always clear signs of a problem. Some common complaints include:

  • Persistent need to urinate
  • A burning sensation when urinating
  • Passing small amounts of urine with each trip to the bathroom
  • Cloudy urine
  • Blood in the urine
  • Strong-smelling urine
  • Pelvic pain for women

Since these infections affect different areas, there are some site-specific flags as well, including pain in the upper back for a kidney infection.

What causes UTIs?

The urinary tract is a mostly closed system, meaning the design is setup to prevent bacteria from entering, but these defenses don't always work. A UTI develops when bacteria enters the bladder through the urethra and multiplies. Once inside the bladder, the bacteria are free to travel to different parts of the system.

Even though there are natural defenses in place to protect this system, there are risk factors that make a UTI more likely, such as:

  • Being a woman
  • Sexual activity
  • Diaphragm use for birth control
  • Menopause
  • Urinary tract abnormalities
  • Kidney stones
  • Enlarged prostate

UTIs are common for individuals with suppressed immune systems, as well as for those who use a catheter.

How are UTIs diagnosed?

Dr. Shusterman obtains a sample of a patient's urine and checks it for white and red blood cells, a sure indication of infection. The lab analysis may also include a culture to see what kind of bacteria is causing the infection. For recurrent cases, a cystoscopy allows Dr. Shusterman to see inside the urethra and bladder looking for specific problems that lead to infection.

What is the treatment for a UTI?

The best treatment is prevention. Dr. Shusterman may recommend some lifestyle changes for patients prone to this infection like:

  • Drinking more water
  • Urinating immediately after sex
  • Changing bathroom habits
  • Using a different form of birth control

For patients with an infection, the treatment plan usually involves an antibiotic, possibly in low doses for several months for chronic problems or prophylactically after sex.

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