Cystitis: Understanding, preventing, and treating your urinary tract infections

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Put an end to recurrent urinary tract infections

Dr. Laurence Peyrat, a urologist in Paris, treats cystitis and recurrent urinary tract infections with a personalized and modern approach.

What is cystitis?

Cystitis is a very common infection or inflammation of the bladder, especially in women. It manifests as unpleasant and sometimes painful urinary symptoms, often caused by a bacterial infection.

Although generally benign, cystitis can recur and disrupt daily life.

What are the symptoms?

  • Burning or pain when urinating (dysuria),
  • Frequent need to urinate, sometimes very small amounts.
  • Cloudy, foul-smelling, or sometimes bloody urine
  • Pain or a feeling of heaviness in the lower abdomen,
  • Sometimes fever if the infection is more serious.

What are the causes?

  1. Ascending bacterial infections, most often by Escherichia coli ,
  2. Poor bladder emptying or urinary residual urine,
  3. Frequent or traumatic sexual intercourse,
  4. Use of certain contraceptives (diaphragm, spermicides),
  5. Anatomical or functional factors,
  6. Immune system disorders.

When should I consult Dr. Laurence Peyrat?

  • Symptoms of cystitis appear for the first time,
  • The infections are recurrent (more than 3 episodes per year),
  • Cystitis is associated with fever or lower back pain.
  • The symptoms persist despite initial treatment.
  • You have a particular urological history or are pregnant.

How is the diagnosis made?

The diagnosis is based on:

  1. Clinical consultation with symptom assessment,
  2. Urine analysis (ECBU) to identify the responsible germ,
  3. Sometimes an ultrasound is used to check for the absence of abnormalities or complications,
  4. More in-depth assessments if infections are frequent or resistant.

What treatments are offered?

  • Prescription tailored to the identified germ,
  • Adherence to the duration and dosage is key to preventing relapses.
  • Drink plenty of fluids to empty your bladder completely.
  • Urinating after sexual intercourse,
  • Avoid irritants (harsh soaps, tight clothing),
  • Maintain good intimate hygiene.
  • Further investigations to search for an underlying cause,
  • Appropriate preventative treatments,
  • Regular follow-up with Dr. Peyrat.

Why consult Dr. Laurence Peyrat?

  • Expertise in female urology and urinary tract infections,
  • A personalized approach to treating and preventing relapses,
  • Use of modern examinations for accurate diagnosis,
  • Comprehensive monitoring to preserve your comfort and urinary health.

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Cystitis: Understanding, preventing, and treating your urinary tract infections

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FAQ – Frequently Asked Questions

Why do I keep getting cystitis?

The most common contributing factors are insufficient hydration, infrequent or incomplete urination, constipation, sexual activity, and estrogen deficiency after menopause. An assessment can identify these factors and address them.

At what point should you consult a urologist?

As early as 3 to 4 episodes per year, or sooner if there is blood in the urine, fever, lower back pain, or if cystitis is resistant to usual treatments. An evaluation will rule out an anatomical cause or bladder residual urine.

How to prevent relapses?

Drink at least 1.5 liters per day, urinate regularly and after intercourse, combat constipation, and depending on the case: cranberry, D-mannose, local estrogens after menopause, or targeted antibiotic prophylaxis as a last resort.

Is an antibiotic necessary for every episode?

A confirmed simple cystitis warrants a short course of treatment, ideally guided by a urine culture in case of recurrence. Repeated self-medication promotes resistance: the goal of monitoring is precisely to reduce antibiotic use through prevention.

Dr Laurence Peyrat's expertise

Chirurgienne Urologue à Paris

Dr Laurence Peyrat

Cystitis: Understanding, preventing, and treating your urinary tract infections: there are solutions.

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