Menopausal women affected more often
Wet, cold and wrong clothes favor bladder infections especially in women. Hypothermia weakens the immune system and makes the body more susceptible to bacterial infections. In addition, many people drink too little in the cold season. As a result, the bladder membranes dry out, causing bacteria to adhere better. Typical signs include pain and burning when urinating, a strong urge to urinate and pain in the lower abdomen. Sometimes the urine becomes cloudy, changes its smell or contains blood. Women who regularly suffer from the symptoms can also get vaccinated.
Every third woman suffers from cystitis more than once a year. Men under 50 are rarely affected. However, around the age of 60, these infections can occur equally frequently in both sexes. The increase in the frequency of infections in men is often due to enlarged prostate, a typical disease in old age. “This increases the pressure on the bladder and urethra and hinders urine drainage. Residual urine in the bladder offers ideal growth conditions for bacteria, ”says Dr. Reinhold Schaefer, urologist from the Uro-GmbH North Rhine medical network. Treatment should only be carried out after a cause has been clarified by a urologist. The treatment of acute cystitis is targeted with antibiotics, either as a one-time therapy or as a short-term therapy.
With recurrent inflammation, prophylactic reinfection with antibiotics is necessary. In the meantime, there is also the option of getting vaccinated against bacteria, which often cause bladder infections. Vaccination only protects against some of the pathogens and therefore does not offer absolute protection. "However, vaccination can provide relief for menopausal women who are often more prone to urinary tract infections due to a possible lack of estrogen," recommends the urologist. Urologists vaccinate those who are most often the cause of bladder infections. They each give three injections for primary immunization within four weeks.
The vaccination should be refreshed annually and is called booster. Many experience a significant improvement afterwards. In addition, there are also certain capsules for immunotherapy for recurrent cystitis. It is important to discuss these options with a urologist. Local hormone therapy, which is best discussed with the gynecologist, very often brings a clear improvement and fewer repeat infections to women.
To support medical therapy, urologists recommend drinking a lot, keeping the abdomen and feet warm, and going to the toilet immediately if you need to urinate. Cranberry juice, bearberry leaves in tablet form or herbal teas support the therapy, but alone are not effective against bacterial inflammation.