How to manage urinary tract symptoms

Written in association with: Mr Biral Patel
Published: | Updated: 05/11/2024
Edited by: Conor Lynch

Urinary tract symptoms (UTS) are a range of issues affecting the urinary system, which includes the kidneys, bladder, ureters, and urethra. These symptoms are often indicative of an underlying problem, such as an infection or other medical condition, and they should not be ignored. The most common UTS include frequent urination, pain or discomfort during urination (dysuria), blood in the urine (hematuria), urgency to urinate, and cloudy or strong-smelling urine.

Common causes of urinary tract symptoms

  1. Urinary tract infections (UTIs): UTIs are the leading cause of urinary symptoms, especially in women. They occur when bacteria, usually from the digestive tract, enter the urinary system. Symptoms often include a burning sensation during urination, frequent urination, and pressure in the lower abdomen.

  2. Kidney stones: When hard mineral deposits form in the kidneys, they can cause severe pain, especially during urination, and often result in haematuria.

  3. Overactive bladder (OAB): OAB is characterised by frequent and urgent urination, even if the bladder is not full. This condition can be due to nerve issues, muscle weakness, or other health factors.

  4. Prostate issues in men: In men, an enlarged prostate or prostatitis (inflammation of the prostate) can lead to urinary symptoms like difficulty starting urination, weak stream, and frequent urination at night.

 

Managing and treating UTS

Treatment depends on the underlying cause of the symptoms. For bacterial UTIs, antibiotics are the most common treatment, usually resolving symptoms within days. For kidney stones, treatment may include increased fluid intake, medications, or procedures to break the stones. In the case of OAB, lifestyle changes such as pelvic floor exercises, bladder training, and medications can help control symptoms.

 

It’s essential to consult a healthcare provider if you experience persistent or severe urinary symptoms. Early diagnosis and treatment can prevent complications, improve quality of life, and provide relief from discomfort. Ignoring urinary symptoms may worsen the condition or lead to chronic issues, so prompt medical attention is crucial.

By Mr Biral Patel
Urology

Mr Biral Patel is a highly respected Consultant Urological and Robotic Surgeon based in Cheltenham, Gloucestershire. With over 25 years’ experience, he specialises in all aspects of general urology, robotic surgery and men’s health, with special proficiency in the surgical management of prostate and bladder problems, urinary symptoms, and urological cancers such as prostate, kidney, bladder, testicular and penile cancer. Mr Patel currently sees private patients at Nuffield Health Cheltenham Hospital. He is also part of a regional multidisciplinary cancer team that looks after patients from Gloucestershire, South Worcestershire and Herefordshire, including some of the more complex patients who are referred. He also works frequently with other specialists including Gynae-Oncologists, Colorectal Surgeons and Clinical Oncologists, providing some of the more complex and multi-specialty cancer care.

Mr Patel originally qualified from the University of Bristol and completed his basic surgical training in the Bristol area. During this period, he also worked as a lecturer in clinical anatomy at the University of Bristol. Mr Patel then spent a two-year period in formal research, where as principal investigator, he set up the multi-centre UK PROCESS Study to investigate the epidemiology of prostate cancer. This pioneering work attracted significant grants, including a large grant from the Department of Health, and led to the award of an MD from the University of Bristol in 2007. Following this research, Mr Patel accomplished six years of higher surgical training in urology in the Southwest region before going on to become a Fellow of the Royal College of Surgeons of England in 2006.

With a wealth of expertise in urological conditions, Mr Patel has also held a number of senior positions throughout his prominent professional trajectory. He was previously the Clinical Lead for Urology at Gloucester Hospitals NHS Foundation Trust, as well as a member of the medical advisory committee. Notably, Mr Patel was instrumental in the introduction of robotic urological surgery and urological laser surgery in Gloucestershire, and presently, continues to oversee the delivery of quality urological care for the region as the elected southwest regional representative at The British Association of Urological Surgeons. Mr Patel, who is on the GMC’s specialist register for urology, is also passionate about medical education and surgical training.

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