Recurrent UTI — Evaluation & Treatment in Lucknow — Dr. Kanishk Dokania, Lucknow

Book an Appointment

⚕️ Recurrent UTI

Recurrent UTI — Evaluation & Treatment in Lucknow

Expert recurrent urinary tract infection (UTI) evaluation and treatment by Dr. Kanishk Dokania at Charak Hospital, Lucknow. Identify cause, prevent recurrence. Call: 0522-666-4444.

📅 Book Appointment 📞 0522-666-4444
← Back to Dr. Kanishk Dokania's Profile

When is UTI Considered Recurrent?

Recurrent UTI is defined as 3 or more UTIs in 12 months or 2 or more in 6 months. In women, it is usually uncomplicated. In men, any UTI warrants urological evaluation to find an underlying cause (prostate, stone, stricture).

Urological Causes to Exclude

  • Bladder stones or kidney stones (causing persistent infection)
  • Bladder outlet obstruction — BPH, urethral stricture causing incomplete emptying
  • Vesicoureteric reflux (VUR) — in children
  • Bladder diverticulum — stagnant urine pool harbouring bacteria
  • Foreign body (forgotten stent, catheter)
  • Bladder or kidney tumour
  • Neurogenic bladder — incomplete emptying due to nerve dysfunction

Investigations

  • Urine culture and sensitivity — identify organism and antibiotic sensitivity
  • Ultrasound KUB — bladder residual, stones, upper tract
  • Urine flow rate — screen for obstruction
  • Cystoscopy — assess bladder in persistent cases
  • CT urogram — if upper tract cause suspected

Frequently Asked Questions

Recurrent UTIs despite treatment often indicate: antibiotic-resistant bacteria (culture sensitivity crucial), incomplete treatment course, reinfection from the bowel or sexual partner, or an underlying anatomical cause (stone, stricture, residual urine). A urological evaluation is essential after 2–3 recurrences to identify and treat the root cause.
Prevention strategies: high fluid intake (2–3 litres/day), post-coital urination, avoid holding urine, cranberry supplements (modest evidence), low-dose prophylactic antibiotics (for severe recurrent UTI), treating any underlying urological cause (BPH, stone, stricture). Vaginal oestrogen in post-menopausal women significantly reduces UTI recurrence.
Uncomplicated UTIs confined to the bladder (cystitis) do not damage kidneys. However, recurrent UTIs that ascend to the kidneys (pyelonephritis), or UTIs in the setting of vesicoureteric reflux, can cause renal scarring and progressive CKD — especially in children. Early evaluation and treatment of underlying causes prevents long-term damage.

📍 Consult Dr. Kanishk Dokania at Charak Hospital, Lucknow

  • MBBS · MS · M.Ch (Urology) — Urologist & Kidney Transplant Surgeon, 11+ years experience
  • OPD: Monday–Saturday, 10:00 AM – 5:00 PM | Consultation Fee: ₹800
  • Institute of Urology & Kidney Transplant, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003
  • 📞 0522-666-4444 | Emergency: 24×7

Consult Dr. Kanishk Dokania

🕐 OPD & Contact

Days: Monday – Saturday

Timings: 10:00 AM – 5:00 PM

Fee: ₹800

Emergency: 24×7

📞 0522-666-4444

⚕️ Related Topics