Una Lee, MD, FPMRS, presented “Recurrent UTI in Women: AUA/SUFU Guidelines” during the 40th Annual Ralph E. Hopkins Urology Seminar on February 5th, 2020 in Jackson Hole, Wyoming.
How to cite: Lee, Una. “Recurrent UTI in Women: AUA/SUFU Guidelines” February 5th, 2020. Accessed Nov 2024. https://grandroundsinurology.com/recurrent-uti-in-women-aua-sufu-guidelines/
Summary:
Una Lee, MD, FPMRS, urologist and researcher at Virginia Mason Medical Center, reviews the 2019 AUA/SUFU guidelines on uncomplicated recurrent urinary tract infection (rUTI) in women, summarizes the evidence underlying these guidelines, and discusses their relevance to clinical scenarios. She first details complications clinicians may experience, such as antibiotic-resistant infections and stressed patients. Dr. Lee then discusses the guideline recommendations: clinicians should use first-line therapy; should obtain urinalysis, urine culture, and sensitivity; may offer patient-initiated treatment; should use as short a duration of antibiotics as possible; may offer cranberry prophylaxis for women with rUTI; should obtain a full patient history; and should not treat asymptomatic bacteriuria. She then argues that although molecular diagnostics are available, the sensitive microorganism detection they provide is associated with overtreatment, overdiagnosis, and confusion due to our current lack of data on which microorganisms are necessary or harmful for a healthy urinary microbiome. Dr. Lee concludes by discussing cranberries and the treatment capabilities of the proanthocyanidins (PACs) they contain, noting that antibiotics are still considered to be more effective, however.
About The 40th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, emerging surgical techniques, and general urology. Dr. Lee presented this lecture during the 40th iteration of the meeting on February 5th, 2020 in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Dr. Una Lee earned her MD from Stanford University School of Medicine in 2003. Following this, she completed her residency in Urology at the Cleveland Clinic and a fellowship in Pelvic Medicine and Reconstructive Surgery at the University of California, Los Angeles. Currently, she works at Virginia Mason Medical Center in the Urology, Pelvic Floor Center, and Transgender Health departments.
Dr. Lee specializes in pelvic floor reconstruction, and is certified by the American Board of Urology in both Urology and Female Pelvic Medicine & Reconstructive Surgery. Special interests include male and female urinary incontinence and voiding dysfunction, pelvic organ prolapse (vaginal prolapse repair and robotic-assisted laparoscopic surgery for prolapse repair), overactive bladder, fistula repair, urethral diverticulum, neurogenic bladder, urinary obstruction, and complications related to vaginal mesh or prior sling.
Dr. Lee is also known for her research in urogynecology. In 2012, she received the Pioneer Research Award from the Wilske Center for Translational Research. Additionally, she is a member of the American Urogynecology Society and the Society for Urodynamics, Female Pelvic Medicine, and Urogenital Reconstruction.
