Urology

The Bacteriostatic Effect of Hibiscus in UTIs

The Bacteriostatic Effect of Hibiscus in UTIs

Antibiotic therapy has traditionally been chosen for the treatment and prevention of urinary tract infection (UTI). Long-term use of antibiotics however not only increases medical expenses but also promotes antibiotic-resistant strains of bacteria. Hence, an alternative therapy for UTI is required to replace the long-term usage of antibiotics. Hibiscus sabdariffa has been shown to have a bacteriostatic effect against the uropathogenic bacteria isolated from UTIs.

Modern Medicine – Issue 5 2024.

Clinical Management of Bladder Pain Syndrome/Interstitial Cystitis

Clinical Management of Bladder Pain Syndrome/Interstitial Cystitis

Bladder pain syndrome (BPS) is a chronic condition characterised by pelvic pain or pressure which is perceived to be originating from the bladder, accompanied by one or more urinary symptoms, including frequency, urgency and nocturia. The precise aetiology of BPS is not fully understood. Treatments targeted at each of these mechanisms have been developed with mixed outcomes. This is a shortened version of the original open-source article.

Modern Medicine – Issue 5 2022

Glycosaminoglycan Replacement Targets Painful Bladder

Glycosaminoglycan Replacement Targets Painful Bladder

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a debilitating chronic disease characterised by discomfort or recurrent abdominal and pelvic pains in the absence of urinary tract infections. Although the aetiology is unknown, there is increasing evidence that increased bladder layer permeability is linked to the symptoms of interstitial cystitis or painful bladder.

Modern Medicine – Issue 3 2021

Address the Cost of Nocturnal Enuresis

Address the Cost of Nocturnal Enuresis

Nocturnal enuresis (NE) is a common problem in childhood. Epidemiological studies show that 15-22% of boys and 7-15% of girls at seven years of age are bedwetters. These percentages lower to 1-2% among adolescents and young adults.1 Although time constraints can often lead to the inadequate addressing of psychological effects, it is prudent to consider expanding patient visits so time is available to screen for these life-altering concerns.

Modern Medicine – Issue 5 2020

Help Children to Stop Wetting Their Beds

Help Children to Stop Wetting Their Beds

Parents often worry about bed-wetting in their children, a problem defined as “involuntary urination in children five years of age or older.” In reality, approximately 15% of children in the US are still wetting the bed at age five. Most parents want practical, real-world assistance to help them deal with the issue of bedwetting.

Modern Medicine – Issue 3 2020

Promoting Urinary Continence in Older People Proactive primary care

Promoting Urinary Continence
in Older People Proactive primary care

GPs and practice nurses are important primary care partners for patients with urinary incontinence, who often require care co-ordination and long-term management. Urinary incontinence in an older person often arises because of more than one reason, with some factors being reversible while other factors are not, so a careful individualised basic evaluation can be rewarding. Multidisciplinary care through a continence clinic may also be valuable.

Modern Medicine – Issue 1 2020

Urethritis in Men

Urethritis in Men

Urethritis often results from a sexually transmitted infection, and doctors must consider treating partners as well as patients. Clinical features guide immediate treatment, but testing is important to confirm the treatment is correct.

Modern Medicine – April/May 2019

Cranberry Stops E.coli Adhesion, Preventing UTIs

Cranberry Stops E.coli Adhesion, Preventing UTIs

Each year, urinary tract infections (UTIs) account for >11 million doctor visits in the USA and 2 million doctor visits in France and 3.5 million antimicrobial prescriptions.1,2 Escherichia coli, the major pathogen involved in these infections, has developed new mechanisms of resistance against ß-lactams and fluoroquinolones which are commonly used to treat UTIs. The effectiveness of cranberry proanthocyanidins and cranberry beverages against antibiotic-resistant E. coli has been described in a number of studies.

Modern Medicine – June/July 2018

Female Urinary Incontinence Effective management in primary care

Female Urinary Incontinence Effective management in primary care

Female urinary incontinence is a common and distressing problem. Overactive bladder and stress urinary incontinence are the two common types of urinary incontinence in women. Most women with urinary incontinence can be managed effectively in primary care. Women with refractory incontinence and those with more complex presentations and associated problems should be referred for specialist management. Conservative management of overactive bladder involves pelvic floor muscle training, bladder retraining and fluid management. Antimuscarinic medication is the mainstay of drug therapy for overactive bladder. Stress urinary incontinence should be treated initially with pelvic floor muscle training.

Modern Medicine – June/July 2018

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