Help - CITITIS! A good urologist is needed!

Under normal physiological conditions, the human urinary tract is sterile, that is, they do not contain microorganisms.

The most common infection of the genitourinary system is cystitis.

Why a consultation with a urologist is urgently needed with her, you will learn from this article.

Inflammation of the genitourinary system: who is at risk

The incidence of urinary tract infections varies by age and gender. In infancy, boys are more likely to suffer from it, which is a consequence of the more frequent occurrence of malformations of the urinary system.

After 1 year, the situation changes.

In girls, infection most often occurs through the urethra. Due to the small distance between the opening of the urethra and the vestibule of the vagina and rectum, it is easier for bacteria to penetrate into the bladder.

The likelihood of infection increases significantly with the onset of sexual activity and is up to 50 times more likely in women than in men.

After 60 years, due to prostatic hyperplasia and urinary stagnation, the incidence of men increases, but women are still twice as likely to suffer from this disease.

The main causes of cystitis

The most common cause of cystitis is a bacterial infection.

The presence of germs in the urinary tract above the bladder sphincter causes inflammation.
Escherichia coli bacteria are transmitted:

• due to the small distance between the anus and the opening of the urethra;
• during intercourse;
• with improper intimate hygiene;
• irritation around the urethra from the use of scented soaps or other bath products or intimate deodorants;
• the use of tampons, vaginal contraception and some medicalagents such as cyclophosphamide used in chemotherapy;
• radiation therapy to the pelvic area;
• long-term use of the catheter;
• incomplete emptying of the bladder:
  • in women due to pregnancy and the postpartum period;
  • in men, due to an enlarged prostate due to adenoma or cancer;
• menopause: in women - a change in the composition of the physiological bacterial flora after the cessation of the hormonal activity of the ovaries, in men with age there is a decrease in antimicrobial activity of the secretion of the prostate gland;
• complications of other diseases (urolithiasis (stones) in the bladder and kidneys, diabetes, spinal cord injuries, strokes.

When do you need an online urologist?

Children and men should see a doctor whenever they experience cystitis.

For women - with recurring symptoms - 3 or more times a year (chronic cystitis). Necessarily - during pregnancy.

Alarming symptoms of cystitis

Regardless of gender and age, see your doctor if you haveoccurred with diagnosed cystitis:

• back pain, above the pubis
• nausea and vomiting, weakness
• blood in the urine (hematuria)
• generally feeling unwell, general malaise
• low-grade fever or fever with chills.

These symptoms may indicate a complication of cystitis with pyelonephritis.

Young children and the elderly are most vulnerable to complications of cystitis due to the possibility of overlooking the symptoms of cystitis or confusing them with other diseases.

What happens if cystitis is not treated:

(prognosis and complications)

In 10–20% of women, symptoms recur within 2 weeks after stopping treatment for cystitis. They are caused by the same organism that survived the treatment, or by another pathogen that was not previously found during the examination, or is in a latent form, in another place (in the anus or vagina), or during the examination of the sexual partner.

With proper and timely treatment, there are practically no complications.

However, if left untreated, cystitis can lead to:

• pyelonephritis, ascending reflux, carbuncle and kidney abscess, sepsis
• urolithiasis
• irritation of the perineum