Complicated Urinary Tract Infection

A complicated urinary tract infection (UTI) is an infection of the urinary tract in one or more structures, including the kidneys, bladder, and/or urethra, that is more serious than a simple UTI. These infections may be caused by bacteria, fungi, or viruses. They can be more difficult to treat than a simple UTI because of their location and how deeply they penetrate into the tissues.

Complicated UTIs can occur in people of all ages, although they are more common in older adults due to reduced immunity. Treatment for a complicated UTI typically involves a combination of antibiotics and other treatments. In some cases, surgery may be required to completely eliminate the infection.

Symptoms of Complicated UTIs

The symptoms of a complicated UTI can vary depending on the location of the infection. Common symptoms include:

Fever
Chills
Pain or burning during urination
Frequent or urgent urination
Strong-smelling urine
Nausea and vomiting
Abdominal pain
Back pain

Diagnosis of Complicated UTIs

Complicated UTIs are typically diagnosed through physical examination and laboratory testing. A physical examination may include listening to your heart and lungs, feeling your abdomen for tenderness, and inspecting your genitals. Your doctor may also recommend urine testing and imaging studies, such as an ultrasound or CT scan, to look for signs of infection.

Treatment of Complicated UTIs

Treatment of a complicated UTI typically involves a combination of antibiotics and other medications. These may include pain relievers, fluids, and other medications to reduce the inflammation and other symptoms. In some cases, surgery may be necessary to make sure all of the infected tissues are completely removed. In addition, your doctor may also recommend lifestyle changes, such as drinking lots of fluids and exercising regularly, to help prevent future infections.