Recurrent urinary tract infections in men. A role for aberrant bacterial forms

Abstract

We studied 45 infected a symptomatic men who had experienced recurrent urinary tract infections classified as bacterial relapse. These patients did not have ilial loop bladder, urethral catheters, suprupubic catheters or condom drainage. We had to process more than 1000 urines from patients attending the neurosurgery clinic at Hamad Shihab Hospital from March 2000 to July 2000 to identify the 45 study patients. A positive antibody coated bacteria influences test was detected on the urinary sediment of each of these patients.This selected study group was subjected to excretory urography and a 2–weeks course of antibiotic in accordance with the results of in vitro susceptibility tests. Eight patients experienced a cure.Recurrences developed in 32 patients (24 relapses, 8 reinfections). And in 4 patients a super infection emerged. No pathogenic role could be attributed to aberrant bacterial forms in this patient's population of symptomatic patients with recurrent invasive urinary tract infection.