Recurrent UTI

[woosha375]

I am a 43yr old male who first suffered a UTI in 2001 which was treated with norfloxacin and appeared to resolve.  I suffered a recurrence in Jan this year and the culture revealed e.coli resistant to all oral antibiotics.  The symptoms of urinary frequency, urgency and blood visible in the urine have come and go a few times since then - making life reasonably miserable.  Recently, I have also noticed a slight discharge and since I have tested negative to STI's was wondering if this is normal?  Also, given the resistant nature of the bug, what is the potential course of action?  Are injectable antibiotics indicated?
Thanks for any advice.

[woosha375]

Thanks for the information - very helpful. My blood sugar is normal - so no diabetes at the moment.
I have been to see an I.D physician about the e.coli infection and once we get the results of cultures we will work out a plan of attack.
Thanks again

[Dr. Kokil Mathur]

Hi
Thanks for writing to the forum!
If the culture showed resistance to all oral antibiotics, then the only option you have is to take either intramuscular or intravenous antibiotics. Also if you have recurrent infections then this could be due to underlying high sugar as in diabetes. You should get your blood sugar checked, both fasting and two hours after food. Also you may need to take a glucose tolerance test. Please consult your PCP regarding diabetes.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!