Lower Urinary Tract Symptoms (LUTS): A Public Health Menace - A Study on Association of Recurrent Urinary Tract Infection with Chronic Bacterial Prostatitis in Indian Men

Dr Nusrat Nabi; Dr Nilam Nigam; Dr Bijay Kumar; Dr Pankaj Pranjal; Dr Nasir Nabi Naikoo

Volume : VII, Issue : V, May - 2018

Lower Urinary Tract Symptoms (LUTS): A Public Health Menace - A Study on Association of Recurrent Urinary Tract Infection with Chronic Bacterial Prostatitis in Indian Men

Dr Nusrat Nabi, Dr Nilam Nigam, Dr Bijay Kumar, Dr Pankaj Pranjal, Dr Nasir Nabi Naikoo

Abstract :

Background: Recurrent urinary tract infection (UTI) in men is likely to be secondary to associated conditions such as prostatitis, prostatic hyperplasia or vesico ureteral reflux (VUR).Recurrent urinary tract infections may be associated with significant morbidity and even mortalitywith bothersome lower urinary tract symptoms. Chronic bacterial prostatitis being a critical risk factor for recurrent urinary tract infection, various measures are being explored to develop better algorithms for treatment and develop strategies for its prevention.Objectives:As such this study was planned to evaluate the association of recurrent UTI with chronic bacterial prostatitis in Indian men over a period of one year. Material & Methods:Prostatic secretion specimens were collected from men with “culture confirmed” recurrent UTI for further processing to diagnose the associated chronic bacterial prostatitis using Meares – Stamey technique. Result:It was observed that among 66 men presenting with culture confirmed recurrent UTI, 13.64%subjects had associated CBP. It was also observed that 76.92% of recurrent UTI cases were found to be in the elderly men more than 70 years; whereas, the prevalence of CBP associated with RUTI was 66.66% among elderly men more than 60 years.Conclusion: Recurrent UTIin men is associated with CBP; as such, modifications in themanagement of RUTI have to be made on the basisof associated CBP and the pattern of antimicrobial susceptibility results.It is hoped that findings from this study would be helpful in ensuring effective management of recurrent UTIs and reduce the associated complications.