Urology hot topics

Dr Anna Lawrence talks about hot topics in Urology. Anna is a New Zealand trained Urologist and is the current president of Continence NZ.

Anna's goal is to increase the education and standard of reconstruction in neuro-urology, thereby improving the care of conditions and improving the quality of life for patients.

Topics

UTI management
strategies to prevent UTIs
evidence for probiotics?
what about D-mannose?
cranberries?
vaginal or oral estrogen?
increasing fluids?
overactive bladder alternative treatments
female urethral stricture.

Take home messages

Antibiotic guidelines have changed. Nitrofurantoin is now first line.
D-mannose and high water volumes are useful for preventing recurrent UTI’s, as is vaginal estrogen in the perimenopuse and beyond.
All women from perimenopause onwards should have vaginal and uretheral estrogens.
There are many more treatments for Overactive bladder. If your anticholinergics aren’t working, then refer for specialist assessment early.