La urinary tract infection It is the presence of pathogens (which cause disease) in some localized region of the urinary tract. Some people, but especially women, may have bacteria in the urinary tract and not develop an infection, called Asymptomatic bacteriuria.

There are two main types: cystitis and pyelonephritis. Cystitis is the infection that affects the bladder, while pyelonephritis affects the kidney. The latter has more severe symptoms.

The main causes are sexual intercourse and bacteria in the gastrointestinal tract, which migrate up from the perineal region to the bladder. It rarely occurs via the hematogenous route (blood circulation).

Diagnosis of a urinary infection

urinary infection

Urinary tract infection is a disease that, when not properly treated, can affect the entire urinary tract, regardless of the age of the patient. Women suffer more from the problem because they have a shorter urethra and closer to the anus, a place rich in bacteria from the feces.

The disease is caused by microorganisms They enter the urethra and can even reach the bladder and kidneys, infecting the entire urinary tract and causing severe pain.

The diagnosis of urinary tract infection is made in the office listening to the patient's complaints and through the physical examination performed in the office. The infection confirmed by examining urine and determining the amount of bacteria present in the collected sample.

If the result is more than 100 bacteria per milliliter, a urinary tract infection is diagnosed. The type of bacteria causing the infection and the appropriate antibiotic for treatment are determined by urine culture (urine culture).

Alternative tests for detection of urinary infection

Depending on the level of infection and the patient's history, the doctor may order other tests to investigate the urinary tract. Tests such as ultrasound of the abdomen y the pelvis, excretory urography, renal scintigraphy, and other imaging tests, such as an abdominal tomography.

Although it is not a specific male or female disease, women are more likely to have a urinary tract infection, since its urethra is shorter and closer to the anus, which favors the spread of bacteria from the feces. For this reason, it is extremely important to pay attention to hygiene in that region.

If you feel burning or pain when urinating, see your doctor. Untreated urinary tract infection can involve various organs of the urinary tract.


In a urinary tract infection, there are countless symptoms that can appear, especially in women. In extremely severe cases, the disease can cause low back pain, fever and / or general discomfort. However, the most common symptoms are these:

  1. If you more than 7 times a day, it is a key symptom.
  2. Go to the bathroom more than once at night.
  3. Pain in the upper part of the pubis.
  4. Blood when urinating.
  5. Change in color and appearance in urine (dark color, cloudy appearance and strong odor).
  6. Burning in the urethra (Dysuria).

Recommended tests for a urinary infection

urine appearance

To properly diagnose urinary tract infection, the specialist must request an examination performed in the laboratory technically called urine culture with an antibiogram.

El antibiograma is a sensitivity test to identify the sensitivity to certain antibiotics of the disease-causing agent.

How to prevent urinary incontinence

To prevent urinary tract infection, some daily measures are recommended. Check it out below:

  • It is recommended to ingest liquids in large quantities.
  • It is not good to hold urine for a long time.
  • Try to monitor your diet. Diseases like Diarrhea or constipation are very harmful to the Urinary incontinence.
  • If you are going to have sex, it is recommended to urinate before and after the act.

Treatment for urinary incontinence

For type urinary tract infections cystitis, treatment with a single dose of antibiotic, of short duration (three days) or of long duration (seven to ten days). In pyelonephritis, the indication is the use of antibiotics for longer periods.

As in the case of vaginal discharge, the age and lifestyle of the patient must be taken into account when choosing treatment.

Disease monitoring

In some cases, the infection becomes recurrent and living with this problem is not easy. Some factors increase the chances of the disease coming back, such as diabetes, urinary retention, use of tubes inserted into the urinary tract, fecal incontinence and urinary, kidney stones and embarazo.

To prevent urinary tract infection from becoming a recurring disease, it is best to do a medical monitoring To treat the causes that predispose to its appearance, drink plenty of water and avoid urinary retention, in addition to remembering to urinate after sexual intercourse.