Urinary tract infections (UTIs) have been in the news lately because of the hospitalization of Defense Secretary Lloyd Austin due to a UTI that developed after prostate cancer surgery. This hospitalization has spotlighted a common condition that can escalate quickly, especially among older individuals.

What Are UTIs?

UTIs are caused by bacteria multiplying in the urinary tract (kidneys, ureters, bladder, or urethra), and can lead to life-threatening complications if not promptly addressed. A study published in Frontiers in Public Health in 2022 reported over 400 million cases and 236,790 deaths from UTIs globally in 2019. Notably, while both men and women can be affected, the study revealed that women are 3.6 times more likely to contract UTIs.

Risk Factors for UTIs

One key risk factor for UTIs is age. People over 65 have an increased risk of UTIs due in part to hormonal changes in women and increased prostate cancer in men, including benign prostate cancer. Recent hospitalizations also play a role because, in hospitals, patients may be exposed to antibiotic-resistant bacteria. Some patients are given antibiotics that can kill normal bacteria, which allows harmful bacteria to grow. Other medical conditions, like kidney stones, increase the risk of UTIs because they can become trapped in the kidney, cause infection, and sometimes block the flow of urine.

Pelvic Floor Health Plays a Key Role

We recently hosted a Wellness Wednesday program on Improving Pelvic Floor Health and this is one of the best ways to reduce UTI risk. There is a strong bi-directional relationship between pelvic floor dysfunction (e.g., weak pelvic floor muscles) and UTIs.

If In Doubt, Check It Out

Know the warning signs of a UTI, and seek medical attention promptly. Many UTIs won’t respond to home remedies alone and can lead to serious health consequences if untreated, especially in older adults.

Pain or Burning Sensation During Urination: One of the most common signs of a urinary tract infection (UTI) is a painful or burning sensation while urinating.
Frequent Urge to Urinate: Individuals with UTIs often experience a frequent, persistent urge to urinate, even when the bladder is not full.
Cloudy or Strong-Smelling Urine: Changes in the appearance or odor of urine, such as cloudiness or a strong, unpleasant smell, can be indicative of a UTI.
Lower Abdominal Pain or Discomfort: UTIs can cause discomfort or pain in the lower abdomen, indicating inflammation or infection in the urinary tract.
Delirium: UTIs can cause sudden confusion, agitation, or odd behavior changes that are sometimes associated with dementia.