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Treating urinary tract infections and urine culture testing

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About 6 months ago I had a pretty severe UTI (blood in urine, extreme pain). It cleared up with antiboitics after about a week, but the pain remained for at least 2 more weeks. I went to the urologist, and they did an ultrasound of my bladder. They said there was scarring on my bladder b/c of the UTI. It's been over six months and sometimes I can still feel a little pain in my bladder. It gets worse around the time of my period. Is this normal? Will I ever be completely back to normal?


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replied June 9th, 2009
Urinary and Bladder Disorders Answer A6776

Urinary tract infection is a type of infection that might affect any of the organs that belong to the urinary system including the bladder. This infection is usually associated with frequent, painful urination, and burning when urinating. The infection is usually treated with antibiotics. Sometimes the bacteria might be more or less resistant to certain antibiotics and complete eradication might be impossible to achieve. This might additionally lead to chronic inflammation of the affected organ. So, according to the information you provided (pain in bladder after previous severe urinary tract infection) it is possible that you might be experiencing chronic cystitis.


It might have been good to have a urine culture 10 to 14 days after the end of the treatment to be sure that all the bacteria are killed and the urine is sterile. Different doctors recommend having an additional urine culture one month after the negative urine culture in order to confirm that no bacteria have been omitted in the previous testing.


You might want to visit your family doctor for urinalysis and a urine culture. If bacteria are found, adequate antibiotics might be recommended. As described above, you might want to have a control urine culture 10 to 14 days after the end of the treatment and additionally another urine culture one month after the last urine culture.


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