Does your diet affect UTI?

Diet is generally critical in the prevention, treatment and recovery from urinary tract infections (UTIs). Some diets boost immunity and protect against UTIs while others reduce irritation in the urinary tract and hasten the healing process. Still some diets help to shed off bacteria and lower the risk of UTIs altogether.

So how does your diet affect UTI?

  1. Plant-based diet

Studies have shown that plant-based diets lower the risk of developing urinary tract infections. In a 2020 study where 9,724 Buddhists were followed over a period of 9 years, it was reported that their vegetarian dietary pattern helped to lower their risk of UTIs by 16 percent.

But how does the vegetarian dietary pattern work? It works in two ways: by preventing bacterial growth and proliferation and by eliminating bacterial reservoirs. 

Firstly, a vegetarian diet has low potential renal acid loads (PRALs). As a result, vegetables and fruits make urine less acidic and can prevent the growth of bacteria associated with UTIs.

On the contrary, red meat and other animal proteins have higher potential renal acid loads (PRALs). Therefore a regular diet rich in animal proteins leads to urine that is more acidic and that promotes urinary tract infections.

Secondly, a vegetarian diet pattern avoids foods that are reservoirs for the bacterial strains of E. coli called Extra-Intestinal Pathogenic E. coli (ExPEC). Since these bacteria account for 65-75 percent of urinary tract infections, eliminating their reservoirs prevents UTIs.

In contrast, animal meat, such as poultry and pork, are reservoirs of extra-intestinal pathogenic E. coli. And the frequent consumption of animal-based proteins increases the risk of UTIs.

  1. Yogurt and other fermented products

Regular consumption of yogurt or other fermented dairy products reduces the risk of urinary tract infections by up to 80 percent. That’s because yogurt contains good bacteria, called live and active cultures.  

When these bacteria reach your digestive and urinary tract, they crowd out and inhibit the growth of UTI-causing bacteria. The bacterial cultures in yogurt also boost immunity. 

Fortunately, these bacteria are never killed by the freezing process. Instead, they only undergo a dormancy state. When eaten and restored to a warm temperature within the body, the bacteria become active and provide protection to the urinary tract.

  1. Berries and fresh fruit juices

Frequent drinking of fresh berry juice lowers the risk of UTIs by up to 50-percent. Berries such as cranberries, raspberries, blueberries and other berries contain the phytochemical called pro-anthocyanidins, which reduces the ability of E. coli bacteria to adhere to the urinary tract walls.

Therefore, fresh berry juice makes it easier to flush out bacteria responsible for UTIs by destroying their capacity to adhere to the lining of the urinary tract. A great way of consuming large amounts of berries in your diet is through smoothies. 

  1. Foods rich in vitamin C

Foods rich in vitamin C, such as oranges, lemons, strawberries, and green leafy vegetables, help to change urine pH. The change in acidity of urine prevents bacteria from growing in urine. Vitamin C also boosts immunity and speeds healing.

  1. Fiber-packed foods

Fiber is a critical stimulator of bowel movement. Hence, including bananas and other high-fiber foods in your diet can help you prevent UTIs by encouraging regular bowel movement and minimizing pressure on urine flow.

  1. Increased hydration

Increased water and fluid intake is a dietary measure that prevents UTIs. In fact, drinking at least 8 glasses of water per day lowers the risk of UTIs by up to 40-percent. The high volume of water makes it more efficient to flush out bacteria from the urinary tract. 

  1. Cutting down on bladder irritants

Drinking cola soft drinks increases the risk of UTIs by at least 10-percent. According to a 1985 study that involved 225 women, beverages such as soda trigger or worsen urinary symptoms and in turn increase the risk of UTIs.

Like soda, bladder irritants, such as coffee, tea, alcohol, artificially sweetened drinks, and carbonated beverages amplify the risk of lower UT symptoms, such as urinary urgency and frequency, which increase the risk of urinary tract infections.

Timely, effective treatment of UTIs

Are you experiencing frequent urinary symptoms? Would you like a permanent solution to your recurrent urinary tract infection? 

At St Pete Urology, we offer prompt, accurate diagnosis and treatment of UTIs.  Our objective is to always provide proper treatment of UTIs to prevent serious complications, such as urosepsis and kidney damage, which are potentially life-threatening.

For more information on the diagnosis and treatment of urinary tract infections and other urological problems, visit the site “St Pete Urology.”

What are the Success Rates of a Vasectomy Reversal?

A vasectomy reversal is the surgical procedure to undo a vasectomy.  The operation involves reconnecting each vas deferens that was cut and sealed off during vasectomy. Once reconnected, each vas deferens becomes a channel through which sperm can again pass through from the testicle into the semen.

The reversal procedure is a more difficult and delicate procedure compared to the vasectomy. It is performed with the aid of a powerful surgical microscope that helps to magnify the vas deferens by as much as forty times in size. And most importantly, the surgery demands a high degree of skill and experience to carry out.

What is a successful vasectomy reversal?

A successful vasectomy reversal not only restores sperm in semen, but also enables a man to get his partner pregnant. Many men undergo the reversal procedure due to loss of a child, change of heart or remarriage and with their motivation being the opportunity to have more children. 

So the measure of a successful reversal is fundamentally on whether or not a man is able to make his partner pregnant. Unfortunately, this is not a straightforward measure as many factors are involved in achieving a pregnancy. 

For instance, getting a pregnancy depends on the man’s age, age of his partner, and on the health and motility of his sperm.  This means that having a vasectomy reversal after the age of 50 years when the number of healthy sperm and their motility has reduced significantly may not be successful. In contrast, having a vasectomy reversal done when a man is younger and with a younger partner may increase the chances of success of the procedure.

Success of a vasectomy reversal also depends on the type of vasectomy procedure a man had and how long it has been in place. The more time after a vasectomy, the more likely you are to develop scar tissue in the vas deferens that will make it difficult to have sperm pass through the tube and reach semen.

What are the success rates of a vasectomy reversal?

The success rates of vasectomy reversal range from 10-90 percent depending on the type of procedure, time that has elapsed since the vasectomy, age of the partner, the surgeon’s experience and training, and whether you had fertility issues before the vasectomy. 

When the reversal procedure is done soon after the vasectomy, the chances of success are quite high. In fact, if a vasectomy is reversed within 10 years after the procedure, there is more than 95-percent possibility of having sperm back in the ejaculate and over 50-percent chance of achieving pregnancy. But a reversal performed more than 15 years after the vasectomy has a lower potential of restoring sperm back in semen and as low as 30-percent rate of pregnancy.

Success rates of vasectomy are:

  1. Up to 97 percent success rate of sperm in semen and 76-percent rate of pregnancy when reversal is done within 3 years after the vasectomy.
  2. Up to 88 percent success rate of sperm in semen and 55 percent rate of pregnancy when reversal is done between 3-8 years after the vasectomy.
  3. Up to 79 percent success rate of sperm in semen and 44 percent pregnancy rate when the reversal is done 9-14 years after the vasectomy.
  4. Up to 71 percent success rate of sperm in semen and 30 percent rate of pregnancy when the reversal is done 15-19 years after the vasectomy.
  5. Up to 52-percent sperm in semen and less than 10 percent rate of pregnancy when the reversal is done after 20 years since the vasectomy.

The reversal technique used and its eventual success depend on the part where the surgeon finds sperm during the procedure. If the surgeon finds sperm within the blocked vas deferens, the vasectomy is reversed by simply reconnecting the two ends of the vas deferens back together. This is a simple procedure that offers 75-97 percent chance of restoring sperm in semen and over 50 percent chance of achieving pregnancy.

But when there is no sperm in the tubes, which is often due to a blockage nearer the testicles, the surgeon will often perform the vasoepididymostomy procedure. During vasoepididymostomy, the vas deferens is connected to the epididymis. This procedure gives a 58-85 percent success in having sperm in semen and produces an average 34 percent rate of pregnancy.

For more information on vasectomy and vasectomy reversal, visit the site “St Pete Urology.”

6 Urology Wellness Tips

Urological health is critical for overall health. The urinary system is made up of the kidneys, renal pelvis, bladder, ureters, and urethra—organs that are crucial in filtering your blood and creating urine. 

With a healthy urinary system, your body is able to efficiently remove waste products of metabolism and balance body fluids and electrolytes.  The body is also able to release hormones that control blood pressure and red blood cell production and to regulate calcium and phosphorous levels for healthy bones and teeth.

While many urological conditions are usually not life-threatening, they can dramatically affect quality of life. For instance, common conditions such as urinary incontinence, overactive bladder, urinary tract infections, kidney stones, and interstitial cystitis can be embarrassing, forcing you to have a limited social life.

Therefore, by keeping a healthy urinary system, you can prevent these awkward conditions, improve your quality of life and boost your overall health.

What are the 6 must-know urology wellness tips?

  1. Drinking plenty of water

Drinking enough water keeps your body hydrated and helps to flush out wastes and bacteria. In turn, this supports a normal functioning of organs of the urinary tract.

For instance, flushing out wastes prevents build up of minerals in urine and reduces the risk of kidney stones. This is especially important in hot climates like Florida. Likewise, washing out bacteria from the urinary tract prevents potential urinary tract infections that may result from bacterial multiplication in the urethra, bladder and kidney.

Just how much water is enough? Drinking 6-8 cups of water per day is considered sufficient for proper hydration.  But you may need to increase your water intake depending on the weather and your activity level. In the summer, you can sweat up to 2 liters an hour during physical activity. So drinking 9-13 cups of water in the summer is recommended.

  1. Maintaining a healthy diet and weight

A healthy, balanced diet can prevent a number of urological problems.  For example, reducing the amount of fat in your diet can lead to overall reduction of accumulated visceral fat around your vital organs. This helps to curb medical conditions like heart disease, type II diabetes, fatty liver, and poor urological health.

Similarly, since being obese or overweight can result in a heavy abdomen that puts extra pressure on your bladder, cutting down your weight is good for your urological health. In fact, losing weight is a very effective way of preventing urinary incontinence.

  1. Taking regular exercise

When you maintain an active lifestyle, you can keep your vital organs functioning optimally and ensure good urological health. Regular exercise also improves symptoms of urinary problems, such as pelvic organ prolapse and urinary incontinence.

For example, including Kegel exercises in your routine can help to train your pelvic floor muscles. You can do so by performing these exercises 2-3 times or more per day. 

And since pelvic floor muscles support the bladder and bowel, retraining them helps to relieve urinary incontinence, ease pelvic organ prolapse, alleviate overactive bladder, and boost sexual vitality.

  1. Reducing caffeine and alcohol intake

Certain foods and beverages have the ability to upset your urinary system. For instance, caffeine tends to upset the bladder and trigger urinary incontinence. So it is prudent to reduce your intake of coffee, tea, and even cola to prevent heightened bladder activity that may result in urine leakage.

Spicy and acidic foods, such as citrus fruits and tomatoes, can irritate the bladder. Reducing their consumption or replacing them with natural remedies like cranberry juice that support urological health is therefore good for your urological health.

Equally, alcohol is a diuretic. That means it promotes loss of water from the body and speeds up dehydration. With increased dehydration, there is a higher concentration of minerals and salts in your urine, which can cause kidney stones. 

Limiting your alcohol intake is good for your urinary system. But if you have to drink alcohol, accompanying it with plain water is recommended.

  1. Quit smoking

Cigarette smoking is a contributor to urological ailments like kidney stones, interstitial cystitis, infertility, bladder cancer, and kidney cancer. In fact, using tobacco is a major factor in bladder cancer—smokers are 2-3 times more likely to have bladder cancer than non-smokers. So quit smoking to protect your urological health.

Also, getting enough sunshine is good for your urinary system. The ultraviolet light from the sun helps to make vitamin D. Since low levels of Vitamin D increases the risk of various urological issues, including enlarged prostate, overactive bladder, urinary tract infections, being in the sun often will protect your urological health.

  1. Monitor your urine for clues

Thirst is one of the most frequent signs of dehydration. And there are other signs such as fatigue and dizziness.  However, before your body dehydration level is too high, your urine will already be showing signs.

Normal, well-hydrated urine is clear to pale yellow. But when you are dehydrated, the color changes to honey or golden colored. So by monitoring the color of urine, you can tell when you are dehydrated and need more water.

Urine that is orange or pink often means you have hematuria (blood in urine). Hematuria can be due to an enlarged prostate, kidney stones, urinary tract infections, or bladder cancer. Speak with your doctor when you notice an abnormal urine color that persists for 2 or more days.

Would you like to speak with a urologist about your urological health? At St Pete Urology we offer world-class diagnosis and treatment of urological disorders. 

Our experienced urologists apply the latest tools and techniques to deliver safe, timely and effective urological care. For more information on how to care for your urinary system, visit the site “St Pete Urology.”

How Our Urinary Systems Age With Us

Your urinary system often reflects your overall health. 

A healthy urinary system works to filter blood and to remove toxins and wastes produced in the body through urine. It also helps to maintain the balance of water, minerals and salts in your blood. Plus, it enables your body to make red cells and regulate blood pressure.

By removing wastes and toxins and regulating fluids and electrolytes, the urinary system helps the body regulate itself and work properly. That is why it’s essential to protect your urinary health as a way of improving your overall health as you age.

In fact, if you take common sense steps early in life to protect your urinary health it will significantly contribute to good overall health later in life especially after the age of 40 years. 

So how does your urinary system age with you?

  1. Kidneys

The number of cells in your kidneys decrease once you’re 40 years or older. This results in thickening of the connective tissue capsule surrounding the kidney and a reduction in the thickness of the cortical region.

The loss of cells causes loss in glomeruli function. And because the glomeruli are responsible for filtration, loss of function of the glomeruli leads to a natural yet gradual decline of kidney function. 

Between the ages of 30 and 40 years, the rate of filtration in your kidneys begins to slowly decline, the size of the kidneys begins to reduce and the arteries supplying blood to the kidneys begin to narrow.  In turn, your kidneys become more susceptible to injury and kidney disease.

  1. Bladder

The walls of your bladder and urethra are made of smooth muscles. As you grow older, the muscle tissue weakens and becomes less elastic. In turn, the capacity of your bladder reduces, resulting in difficulty to fully evacuate during urination.

Likewise, the bladder wall generally becomes stiffer as you grow older. This reduces the bladder’s ability to hold as much urine as your younger self. And as your ability to hold urine reduces, you end up urinating more often with a higher risk of urinary tract infections.

Accidental urine leakage results from muscle weakness in the bladder and is more frequent in older people, especially women. More than 50-percent of people aged 65 and older have urinary incontinence symptoms. 

By the time you are 80 years or older, bladder control may be sufficiently diminished that many find themselves waking to pass urine during the night. 

Various age-related causes of urinary incontinence include: 

  • Weak pelvic floor muscles
  • Nerve damage
  • Urinary tract infections
  • An enlarged prostate (in men)

The most common treatment options for urinary incontinence are surgery and targeted nerve stimulation. 

Another age-related urinary system condition is bladder cancer. Though the disease is not very common, the chance of having it increases with age. In fact, over 70-percent of cases of the cancer are diagnosed in people who are 65 years or older. 

Risk factors include exposure to carcinogens, tobacco smoking, and radiation. The most common symptoms are blood in urine (hematuria) and pain during urination. It is advisable to speak with a urologist if you experience these symptoms.

  1. Urethra

After the age of 40 years, your risk of having urinary tract infections increases due to changes in the urethra. The infections may occur when bacteria invade the urethra, multiply and spread to the upper parts of the urinary system such as bladder and kidneys.

While urinary tract infections are more commonly a concern in aging women, it can also be a problem for men. More than 50-percent of women have urinary tract infections at least once in their lifetime as opposed to just 3-percent of men.

Advancing age is also a factor in UTIs as a result of general immunity weakening with age. Plus, the infections may be more frequent in older people due to urinary incontinence and retention. When not treated promptly, infections that begin in the urethra can in some cases lead to kidney infections and even sepsis.

  1. Prostate 

The prostate is not a urinary organ; it is part of the male reproductive system. However, changes in the prostate result in problems in the urinary system. This is largely due to the prostate gland gradually enlarging after the age of 40 years and leading to extra pressure applied to the bladder, blocking urine flow.

More than 30-percent of men aged 50 years or older require treatment for an enlarged prostate (BPH) while up to 90-percent of men aged 80 years have an enlarged prostate. An enlarged prostate is not cancer, but it is associated with bothersome health issues, such as urinary tract infections, kidney infections, urinary incontinence and bladder damage.

The most common symptoms of BPH are change in urination, inability to start to pee, and a weak urine stream. Speak with your urologist about BPH symptoms as soon as they start in order to get prompt, effective treatment.

Timely urological care

To prevent age-related urinary issues, consider making regular visits to your urologist. The doctor is a specialist with the skills and experience to assess your specific symptoms, ask the right questions, make the appropriate diagnosis and find the right treatment options. 

Speak with your urologist as soon as possible to get the right medications or minimally invasive treatment for relief of the symptoms. For more information on the prevention, diagnosis and treatment of urological disorders, visit the site “St Pete Urology.”

Common Bladder Control Problems

Tonight we’re going to talk about bowel and bladder control primarily. So Dr. Graves and I both actually trained together at the University of Pennsylvania in Philadelphia and we’ve been each practicing for close to 10 years. And we’ve had five years of urology training in residency and med school before that.

And the topic tonight is something that we do have a lot of focus in and enjoy taking care of and have specialty in. All right so there’s three kind of categories to kind of simplify this about bladder control issues. One is stress incontinence and I’ll describe that more in the next slides. The second is urinary retention which is the inability to actually get urine out where the urine is trapped in the bladder and you can’t fully empty the bladder and the third is overactive bladder. 

So stress incontinence is the kind of incontinence that some patients can have in which when you increase the pressure on the bladder it overcomes the ability of the sphincter to control the urine. So sneezing, coughing, laughing, standing up real quick after you’ve been sitting for a while, climbing up things like stairs, exercising and then you get a dribble or even sometimes a full emptying of the bladder as you do those activities so that’s deemed stress incontinence. And that is an issue typically with the sphincter itself and the pelvic floor with the inability to control the bladder from emptying. And that’s an issue that some women have with age or after childbirth that can occur. In regards to men that would be something that sometimes we see after prostate type procedures and then also you know something with the age that can occur. In regards to urinary retention that’s when you can’t fully empty your bladder. Sometimes patients will show up with to the emergency room or our office with the inability to empty their bladder and they need a catheter put in to drain the bladder. Other times it could be a slow chronic situation where they don’t empty the bladder fully and it builds up into a inability to empty. That’s actually dangerous because you’re not able to clear all the toxins out of your body and you can get infections or kidney failure, this is something that’s important to tease out. Usually in these cases you can have leaking but the main symptom is difficulty emptying and a weak stream. And then overactive bladder is is a quite common situation in which you have a bladder that isn’t able to hold urine for the amount of time it should in between urination. So you get frequent trips to the bathroom with strong urges to pee even though you just urinated, went to the bathroom and peed you know 20 minutes 30 minutes later you feel like you got to go again and are heading back to the bathroom. And that can sometimes progress into urge incontinence which is a type of leaking of urine as opposed to the stress incontinence where you sneeze cough strain and leak this is where you get a strong urge to pee and you can’t hold it back and then you end up having a leak before you make it to the bathroom in time.

And then a different kind of incontinence would be this fecal incontinence which is basically bowel incontinence and this is not urinary incontinence but a situation in which you have control issues with having bowel movements. So you can actually have loss of control where you have accidents with your stool sometimes that could be this like a strong urge that you cannot control or other times it’s a loss of feeling that you have to go and you can have either small accidents or a full incontinent episode with fecal incontinence

What’s the healthiest urine color?

Urine is liquid waste made by your kidneys as they filter toxins and potentially harmful waste from your blood. 

It is primarily made of water, chemicals (ammonia, creatinine, urea, uric acid), inorganic salts, pigments, and electrolytes (like potassium and phosphorous). 

Its color depends on a variety of factors, including illness, food, and medications. And it can give a picture of your overall health.

So what is the healthiest urine color?

Generally, the healthiest urine color is pale or light yellow to gold. The yellow color is due to the pigment urochrome, an end product of the breakdown of hemoglobin found in blood. Of course, the level of urochrome in the urine will make the urine appear either light yellow or dark yellow. 

When the urine is clear or has no color, it typically means you’re drinking excessive liquid or perhaps taking a drug known as a diuretic which stimulates your body to get rid of fluid. 

With clear urine indicating over-hydration and your body attempting to get rid of excess water, you only need to stop drinking too much and to drink only when next you feel thirsty for your urine to return to light yellow.

Dark yellow, honey-colored, or brown-colored urine indicates that you’re probably dehydrated and need to drink more fluid. Though it could also be a warning that you have a liver problem and need to see your doctor if it does not get better in a few days. 

Equally, dark yellow urine is common in the morning because you’ve perhaps taken too long without hydrating. When you have dark yellow urine, drink some water and limit dehydrating foods and drinks.

What urine colors are abnormal?

  1. Orange

Orange urine color may be a sign that you are dehydrated. But it can also be the result of high-doses of vitamins B12 and C, the urinary tract infection drug phenazopyridine, the antibiotic isoniazid, or a problem with your liver or bile duct. 

Speak with your doctor if your urine is constantly orange colored. Also, be aware of the medications and vitamins you’re taking.

  1. Blue or green 

A green or blue colored urine is often a side effect of certain vitamins, food dyes, the anesthetic propofol, the asthma medicine promethazine, or the medicine methylene blue. 

Only a few rare medical conditions turn urine green or blue in color so inform your doctor about a blue or green urine color that doesn’t go away.

  1. Red or pink

Unless you’re taking a drug like antibiotic rifampin or the UTI drug phenazopyridine or you’ve eaten beets, carrots, blackberries, or rhubarb recently, having pink or red urine indicates blood in urine. In fact, if the urine has a thick, blood-like consistency, then that is abnormal and requires urgent attention. 

Generally, anything red should be alarming and could be a sign of kidney stones, kidney disease, prostate problems, urinary tract infection, or a more serious problem like bladder cancer. Of course, for women, when menstruating, then menstrual blood can mix with urine.  But with red or pink urine, you should call your physician or urologist immediately to be examined. 

  1. Brown urine

When urine is brown, it might indicate fistula between the urinary tract and the rectum or bowels. It may also mean blood in urine, kidney disease, liver disease, or an infection. Speak with your doctor about brown urine color that doesn’t go away.

  1. Turbid or foamy urine

No matter the color of your urine, you should visit your doctor if it is foamy, frothy or cloudy. Turbid urine may be a sign that you have protein in your urine, which may mean a problem with your kidneys. Or it may indicate that you have an infection. 

Nevertheless, smelly or cloudy urine alone should not be interpreted to mean urinary tract infection, as only a visit to your doctor and a subsequent analysis can reveal that.

When should you seek medical help?

You should never be afraid to bring up questions with your doctor when you have abnormal urine color. If you believe the alarming urine color is due to a new supplement or medication, your doctor will change it or instruct you to stop taking it. Then, your doctor will encourage you to track your urine to see if or how its color changes.  Your doctor will also request for a sample of your urine for analysis, particularly if it is pink, brown, red, or smells strangely.

Make sure to inform your doctor about any new symptoms, especially if it lasts more than a day or comes with a fever, vomiting, back or side pain, discharge, or feeling very thirsty. For more information on the diagnosis and treatment of urinary issues, visit the site “St Pete Urology.”

Is blood in the urine serious?

Blood in the urine, medically referred to as hematuria, should always be taken seriously because any blood in urine can indicate an elevated risk of severe health problems even if it occurs once. 

For instance, it can indicate an infection, kidney disease, cancer or a rare blood disorder.  So if you see blood in your urine, no matter how minor, you should never ignore it and immediately see a urologist. 

What are the different types of hematuria?

Blood in the urine can occur in two ways. It can present itself as gross hematuria or as microscopic hematuria. Gross hematuria means that your urine has significant elevation of blood and its color appears red or pink. Or your urine has spots of visible blood.

Microscopic hematuria means the amount of blood in your urine is so small that it can’t be seen with the naked eye. So your urine is not red or pink in color but a lab test can detect the blood or blood cells in the urine can be detected when a sample of the urine is examined under a microscope.

What are the causes of hematuria?

  1. Urinary tract infection

A bacterial infection somewhere in your urinary tract, kidneys or bladder can cause hematuria. An infection occurs when bacteria enters your urethra and moves and multiplies in the bladder or kidneys. The infection may result in pain, frequent urination, and bleeding that can eventually lead to gross or microscopic hematuria.

  1. Stones

Stones are crystals that form from minerals and other substances in your urine, especially when they are at high concentration. The stones form in the bladder or kidney and may lead to pain and bleeding as the stones pass through the urinary tract. Larger stones typically block the urinary tract and cause significant pain and hematuria.

  1. An enlarged prostate

For men who are middle-aged and older, the prostate gland tends to get bigger, compress the urethra, make it difficult to urinate, and may result in urinary tract infection (UTI). When an enlarged prostate causes UTI, blood in urine is often one of the symptoms of the infection.

  1. Kidney disease

When a kidney is inflamed, infected or damaged, bleeding may occur, resulting in blood in urine. Kidney disease can occur on its own or as part of another disease, like diabetes.  

For instance, in children aged 6-10 years, the kidney disease known as post-streptococcal glomerulonephritis, which tends to develop 1-2 weeks after untreated strep infection, usually causes hematuria. It is nowadays quite rare because antibiotics effectively treat strep infections.

  1. Cancer

Blood in urine can be due to bladder, prostate, or kidney cancer, typically as a symptom of advanced-stage tumor. Because blood in urine is rarely an early sign of cancer, you should see your doctor immediately to rule out the possibility of cancer.

  1. Medications and rare conditions

Hematuria can be caused by drugs like aspirin, penicillin, blood thinners (like heparin and warfarin), and cyclophosphamide (a drug used to treat certain cancers). Rare blood disorders like hemophilia, Alport syndrome, and sickle cell anemia also cause hematuria. 

Plus, you can have blood in your urine after strenuous exercise, a trauma to the kidneys, or if blood is coming from a different source, such as from bowel movement, the vagina in women, or the ejaculate in men.

When should you seek medical attention?

Blood in urine may be a sign of a grave underlying condition, so you should speak with your doctor as soon as possible. You must never ignore hematuria, even if only a small amount of blood occurs in the urine. 

Visit your doctor immediately if you see blood clots as you urinate or if you have hematuria along with nausea, vomiting, fever, chills, or pain in your abdomen, back or side. 

Also, speak with your doctor if you don’t see blood in urine but experience frequent pain, difficulty urinating, or have abdominal or kidney pain, as these could indicate microscopic hematuria.

During your visit, your doctor will ask you about when and the amount of blood you see during urination.  The physician will also want to know how frequently you urinate, any pain or blood clots in the urine, and any medications you’re taking. 

The doctor will then perform a physical exam, obtain a sample of your urine for analysis, and may order imaging tests, like CT scan or cystoscopy.

The treatment offered after the tests will depend on the underlying cause of the hematuria. For instance, if it is due to urinary tract infection, your doctor will prescribe antibiotics. 

For hematuria caused by an enlarged prostate, your doctor may prescribe 5-alpha reductase inhibitors, alpha blockers, or surgery.

Do you have blood in urine? 

For more information on the diagnosis and treatment of urological problems, visit the site “St Pete Urology.”

What Can Cause Poor Bladder Control?

Loss of bladder control, called urinary incontinence, is a common and usually embarrassing problem. It may manifest as leaking of urine when coughing, sneezing, jumping, or during other physical activity. But it can also occur as a sudden, strong, uncontrollable urge to urinate or wake up several times at night.

While the problem tends to occur more commonly in older people, it isn’t an unavoidable consequence of aging. In fact, you don’t have to live with urinary incontinence because you are aging.

So if urinary continence is disrupting your social life and daily routine or affecting your quality of life, speak with your doctor about it. Your urologist will usually begin with a conservative approach of recommending simple lifestyle and dietary changes to help you get relief from the symptoms. Or in some cases the doctor may recommend more aggressive medical treatments to free you from the condition.

Causes of Poor Bladder Control image

Types of urinary incontinence:

  1. Stress incontinence
    Stress incontinence occurs if exerting direct pressure on your bladder results in urine leakage. The urine leaks linked to stress incontinence typically occur when you cough, sneeze, laugh, exercise or lift a heavy item.
  2. Urge incontinence
    Urge incontinence manifests itself if you frequently experience a sudden, intense, uncontrollable urge to pass urine which results in urine leakage. With the strong urge, most find themselves urinating several times per day including throughout the night.
    Urge incontinence may be due to a minor condition, such as urinary tract infection. But it some cases it can be the result of a more severe condition such as diabetes or a neurological disorder.
  3. Overflow incontinence
    Overflow incontinence is when you experience frequent dribbling of urine. Usually the dribbling of urine is due to the inability to fully and completely empty the bladder.
  4. Functional incontinence
    Functional urinary incontinence is the result of physical or mental impairments that makes it difficult to hold urine and for many to even reach the toilet in time to relieve themselves. So many have urine leaking from their bladder as they struggle to reach the bathroom. 
  5. Mixed incontinence
    Mixed incontinence is if you suffer from more than one type of urinary incontinence. Most often mixed incontinence is a combination of urge and stress incontinence.

What can cause poor bladder control?

Many experience urinary incontinence due to an underlying medical condition, a physical problem, or a change in lifestyle.  The incontinence may be temporary if due to a change in daily habits and in those cases is an easily treatable condition. But if the condition is persistent when related to a medical condition or physical problem, undergoing a thorough evaluation by your doctor will help determine the cause of your incontinence.

Causes of temporary urinary incontinence:

  • Urinary tract infections
    Urinary tract infections may also lead to a strong urge to urinate. The urge may be too intense to the point of urine leakage before you can reach the bathroom. With the treatment of the source infection, the incontinence typically disappears.
  • Constipation
    Since the rectum is located near the bladder and shares many nerves with the bladder, having hard, compacted stool in the rectum can cause the nerves controlling the bladder to be overactive. In turn, increased urinary frequency may occur, resulting in incontinence. The incontinence usually resolves when the constipation ends.
  • Drinks that act as diuretics
    Some drinks have the ability to stimulate the bladder and increase urine volume. As a result, urine may leak due to the overwhelming volume in the bladder. Reducing the intake or avoiding these drinks helps to prevent incontinence.

    The drinks include: 

    • a. Caffeine
    • b. Alcohol
    • c. Artificial sweeteners
    • d. Chocolate
    • e. Carbonated drinks and sparkling water
    • f. Chili peppers
    • g. Large doses of vitamin C
    • h. Sedatives, muscle relaxants, and heart and high blood pressure medications
    • i. Foods with too much sugar, spices, or acids, particularly citrus fruits

Causes of persistent urinary incontinence:

  • Pregnancy
    Pregnancy is accompanied by hormonal changes and increased weight of the fetus. These changes may cause stress incontinence.
  • Childbirth
    During vaginal delivery, the muscles that control the bladder may weaken. The nerves and supporting tissues may also be damaged.  Due to the weakening of bladder muscles and damage of nerves and tissues, a prolapse (dropped) may occur in the pelvic floor. 
    Following a prolapse—where the bladder, rectum, uterus or small intestine is pushed down from the normal position and protrudes into the vagina—bladder control diminishes, resulting in incontinence.
  • Aging
    With age, the bladder muscles weaken and bladder control reduces. Also, as you get older, involuntary bladder contractions become more common, increasing the likelihood of incontinence.
  • Menopause
    The production of estrogen—a hormone that keeps the lining of the urethra and bladder healthy—reduces after menopause. As a result, the bladder and urethral tissues deteriorate, causing or aggravating incontinence. 
  • Enlarged prostate
    Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland. As the prostate enlarges, it puts more pressure on the bladder, which in turn loses control. Thus, an enlarged prostate often triggers urinary incontinence.
  • Prostate cancer
    Untreated prostate cancer can cause stress incontinence in men. Also, urinary incontinence may be an adverse effect of prostate cancer treatment.
  • Urinary tract obstruction
    Overflow incontinence can occur when there is a blockage of the normal flow to urine along the urinary tract. The obstruction may be due to a tumor somewhere in the urinary tract or a urinary stone.
  • Neurological disorders
    Disorders that interfere with the nerves involved in bladder control may trigger urinary incontinence. Neurological issues commonly associated with urinary incontinence include stroke, multiple sclerosis, Parkinson’s disease, brain tumor, and spinal injury.

When should you see a doctor?

Please see a doctor if urinary incontinence is too frequent, embarrassing, and is affecting your quality of life. Your doctor will identify the underlying cause of the problem and administer appropriate treatment. 

Plus, you should see a urologist when the incontinence:

  • Causes you to restrict your social interactions and daily activities.
  • Adversely affects your esteem, confidence, and quality of life.
  • Is accompanied by other symptoms, such as pain or blood in urine.
  • Could pose other risks, such as the risk of falls as you rush to the toilet.
  • Is suspected to be a symptom of a more serious underlying condition.

At St Pete Urology, we have a team of urologists that boasts a rich knowledge and wealth of experience in treating urinary incontinence.  Our urologists conduct a thorough physical exam and take comprehensive medical history before requesting appropriate tests to help identify the underlying cause of incontinence.

We are proud of our tailored treatments and the remarkable results we achieve with all our patients. For more information on urinary incontinence and other urological problems, visit the site “St Pete Urology.”

How Is Bladder Cancer First Diagnosed?

Early diagnosis of bladder cancer is crucial for successful treatment. Unfortunately, there is no specific test available for screening asymptomatic people for the disease. So diagnosis of the cancer primarily relies on the presence of symptoms.  

Working from symptoms

In fact, most cases of bladder cancer are diagnosed when patients report having blood in urine to their doctors. It is at this point that a urine test, called urinalysis, is often ordered to confirm the presence of blood in urine.  

Of course, having blood in urine does not necessarily imply that there is bladder cancer since bleeding can also be due to urinary tract infections, kidney stones, bladder stones, kidney disease, or a non-cancerous tumor. Hence, when blood is present, the urologist will go the extra mile to find out the underlying course.

Apart from blood in urine, your doctor may also suspect bladder cancer if you have urinary symptoms, such as frequent urination, burning sensation during urination, weak urine stream, nocturia, or inability to urinate.

Although occurrence of symptoms is usually the first basis for suspecting bladder cancer, it has various limitations. For instance, there are no symptoms that are specific to the cancer. This may lead to a misdiagnosis of the cancer as another disease with similar symptoms.

Also, many cases of bladder cancer show no symptoms in the early stages. So by the time you’re going to a doctor because of some symptoms, it may already be too late and the cancer could have spread to various organs and become difficult to treat.

Urinary tests

Regular urinary tests can help to detect early-stage bladder cancer. For when there is persistent blood in your urine, your urologist will be prompted to order for further tests.  Usually, when there is any amount of blood in your urine, your doctor will recommend a urine cytology test.

Urine cytology testing uses a random urine sample to check if the urine contains tumor cells. The sample is examined under a microscope to look for the cancer cells. Alternatively, the urine sample can be subjected to molecular analysis, which will detect the presence of various proteins or genes associated with cancer cells. 

Cystoscopy

This is a key bladder cancer diagnostic procedure that allows a urologist to see inside the body with the help of a thin, flexible, lighted tube called a cystoscope.  The cystoscope is inserted into the bladder through the urethra and has a camera to help the doctor clearly view the bladder. 

Apart from assessing the bladder, a cystoscope can be used to take a small tissue sample (biopsy) or to treat early-stage tumors without surgery.  Cystoscopy is a simple outpatient procedure performed in the doctor’s office, and is quite effective in detecting growths in the bladder and determining if there is need for biopsy or surgery.

Biopsy

If your doctor finds abnormal growth in your bladder during cystoscopy, a biopsy is the next and most definitive step. Also called transurethral resection of bladder tumor (TURBT), a biopsy involves the removal of a small amount of tissue from the bladder for examination under the microscope.

Usually the tumor, together with a sample of bladder muscle near the tumor, is removed. But additional biopsies of other parts of the bladder may also be necessary depending on the cystoscopy results. The tissue samples obtained during TURBT are analyzed by a pathologist to confirm bladder cancer, identify the type of tumor, and to find out how deeply it has spread into the layers of the bladder.

What are the warning signs of bladder cancer?

Because the bladder holds urine produced by the kidneys, the warning signs of bladder cancer usually relate to urination. Urine is made in the kidneys and moves down the ureters to the bladder, which then stores the urine to allow for an infrequent, controlled urination.

Blood in urine

The earliest warning sign of bladder cancer is blood in urine, also called hematuria. The blood may be present in the urine regularly or appear sporadically over the course of days or weeks. Plus, it may change the color of urine to orange, pink or dark red—though sometimes there may be no apparent urine color change.

Blood in urine is a critical sign of the cancer because early-stage bladder cancer does not often cause pain or other symptoms except bleeding. In fact, bladder cancer is usually diagnosed after patients tell their doctor about having urine in their blood.

Gross hematuria is when blood is present in urine in such a large quantity that the patient can see it. But sometimes, there may be microscopic hematuria, whereby the blood is present is such a small amount that it can’t be seen by the naked eye, though can be detected by a urine test. 

Nevertheless, blood in urine is not always an indicator of bladder tumor. It could be due to other less serious conditions, such as urinary tract infections, bladder stones, kidney stones, kidney disease, or non-cancerous tumors. Plus, in women, blood from menstruation may appear in urine and could cause a false-positive test result.

Urinary symptoms

While changes in urination are often a sign of less serious conditions, such as urinary tract infections, overactive bladder, benign tumor, bladder stones, or in men, an enlarged prostate, they may also be an early warning sign of bladder cancer.

Urinary symptoms that may indicate bladder cancer include:

  1. Pain or burning sensation during urination
  2. Frequent urination
  3. Nocturia—having to urinate many times throughout the night
  4. Feeling the urge to urinate even when the bladder is not full
  5. Having the urge to urinate, but being unable to pass urine
  6. Weak urine stream
  7. Lower back pain, often on one side of the body

When experiencing these changes, it is advisable to speak with your doctor as soon as possible. Your doctor will do a medical exam and order specific tests to help identify the cause of the symptoms. The doctor will also be able to rule out the cancer or run further tests to diagnose the cancer so that you are put on early treatment.

Advanced bladder cancer warning signs

Not everyone with early-stage bladder cancer will have symptoms. In some people, the first warning signs appear when the cancer has already grown too big or has spread beyond the bladder. 

Warning signs of advanced bladder cancer include:

  1. Pelvic pain
  2. Lower back pain, usually on one side
  3. Fatigue or general body weakness
  4. Inability to urinate
  5. Swelling of the feet
  6. Bone pain
  7. Unexplained weight loss
  8. Loss of appetite

For bladder cancer that has spread to other parts of the body, the symptoms typically depend on the affected organ. For instance, if the cancer has spread to the lungs, it may produce shortness of breath or persistent coughing.

Equally, if the cancer has spread to the liver, it may cause jaundice (yellowing of the skin or eyes) and abdominal pain. And if the cancer has spread to bones, it may lead to bone pain or a broken bone (fracture).

Timely diagnosis and treatment

If you are having blood in urine, urinary symptoms or other disturbing changes, speak with your doctor about them. The doctor will seek to establish how long, how severe, and how often you have been experiencing the symptoms. 

Together with performing a physical examination and ordering lab tests, the doctor will try to figure out the problem. If bladder cancer is suspected, your doctor will request for further tests to confirm the diagnosis.

 For more information on bladder cancer, its signs and symptoms, risks and prevention, and diagnosis and treatment, visit the site “St Pete Urology.”