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Urology (Expert Forum)
Artificial Urinary Sphincter and cloudy urine
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Artificial Urinary Sphincter and cloudy urine
by kendixon, Jan 25, 2005 12:00AM
Spinal cord injury, S1-S4 gone, have artificial urinary sphincter. Sphincter does not stop leaking completely and my penis is always in a moist urine environment. I seem to have cloudy urine all the time. Since I have no feeling I don't know if it's burning when I urinate. I believe the damp penis is causing me to always have a urine infection. I have been taking 250 mg/daily of penicillan to knock it down, but that doesn't work. I take CIPRO for 5-7 days and it knocks it down, but the day after it's back. Two questions: 1) Is there anyway to keep the infections at bay; 2) What is this doing to my bladder and kidney for the long run - am I shortening my lifespan because of the infections.
Doctor's Answer
by Kevin Pho, MD, Jan 25, 2005 12:00AM
, Jan 25, 2005 12:00AM
To answer your questions:
1) If you are getting recurrent urinary tract infections, one option would be to be placed on prophylactic antibiotics to prevent recurrent infection. This can be something like Bactrim or Macrobid on a prolonged basis. There is always the possibility that the bacteria may be resistant to the penicillin.
2) I am not aware of a mortality effect due to constant UTIs. Chronic infections however, can lead to incontinence and possible kidney damage.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
1) If you are getting recurrent urinary tract infections, one option would be to be placed on prophylactic antibiotics to prevent recurrent infection. This can be something like Bactrim or Macrobid on a prolonged basis. There is always the possibility that the bacteria may be resistant to the penicillin.
2) I am not aware of a mortality effect due to constant UTIs. Chronic infections however, can lead to incontinence and possible kidney damage.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
