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[14] [11] [20] On the other hand, the findings of animal studies of methenamine and carcinogenicity have also been questioned by some authors, [20] though this topic is controversial. [11] Antibiotics are known to disrupt the gut, urinary tract, and vaginal microbiota. [14] This has been associated with increased risk of recurrent UTIs. [14]
A review from 2019 indicated that antibiotics may reduce symptoms. Some have found benefits in symptoms, [64] [65] but others have questioned the utility of a trial of antibiotics. [66] Antibiotics are known to have anti-inflammatory properties and this has been suggested as an explanation for their partial efficacy in treating CPPS. [25]
Other antimalarials like amodiaquine, halofantrine, and hydroxychloroquine have also been linked to pruritus, albeit less frequently and to a lesser extent. [ 2 ] Another class of medications known to occasionally cause itching is known as serotonin reuptake inhibitors .
Prevalence increases with age. The prevalence of nocturia in older men is about 78%. Older men have a higher incidence of LUTS than older women. [25] Around one third of men will develop urinary tract (outflow) symptoms, of which the principal underlying cause is benign prostatic hyperplasia. [26]
Urethral syndrome is defined as symptoms suggestive of a lower urinary tract infection but in the absence of significant bacteriuria with a conventional pathogen. [1] It is a diagnosis of exclusion in patients with dysuria and frequency without demonstrable infection. [2] In women, vaginitis should also be ruled out. [3]
Documented human clinical infections caused by P. penneri have been limited to the urinary tract and to wounds of the abdomen, groin, neck, and ankle. [8] This species is isolated from individuals in long-term care facilities and hospitals and from patients who are immunocompromised or suffering from underlying disease.
Up to 10% of women have a urinary tract infection in a given year and half of all women have at least one infection at some point in their lives. [ 6 ] [ 7 ] There is an increased risk of asymptomatic or symptomatic bacteriuria in pregnancy due to physiological changes that occur in a pregnant woman which promotes unwanted pathogen growth in ...
In some men, chronic bacterial prostatitis can be severe and highly refractory to treatment or relapsing. [34] [35] In addition, it can be life-threatening due to urinary tract infections (UTIs). [35] Prostatectomy, or prostate removal surgery, has been used rarely and in well-selected patients to treat these kinds of cases.