Chronic Bladder Infection

Symptoms of a bladder infection typically include:

• A burning sensation during urination
• Frequent, urgent need to urinate
• Passing small amounts of urine at a time
• Cloudy, dark, or strong-smelling urine
• Pelvic discomfort or lower abdominal pressure
• Blood in the urine in some cases

Dr Naudé will take a thorough history and arrange urine testing to confirm infection and identify the responsible organism. Further investigations may include imaging of the urinary tract, cystoscopy (a camera examination of the bladder), or urodynamic testing to assess bladder function. These steps help identify any structural or functional factors that may be contributing to the recurrence.

Treatment of recurrent bladder infections may include:

• Targeted antibiotic therapy based on urine culture results
• Low-dose prophylactic antibiotics to reduce the frequency of episodes
• Post-coital antibiotic prophylaxis where infections are related to sexual activity
• Vaginal oestrogen therapy in post-menopausal women, where appropriate
• Behavioural and lifestyle modifications to support bladder health

For patients who do not respond adequately to standard medical therapy, bladder instillations may be considered. This involves placing a therapeutic solution directly into the bladder through a thin catheter. The solution remains in the bladder for a set period before being drained or passed naturally.

Bladder instillations can help restore the protective lining of the bladder wall, reduce inflammation, and decrease the frequency of infection. The specific solution used and the number of treatments required will depend on your individual circumstances.

Managing recurrent bladder infections often involves a combination of strategies. Dr Naudé will work with you to develop a management plan that addresses the underlying cause and reduces the impact on your daily life.