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Summermole's mom been to a urologist. But she hasn't told us what the urologist recommended. Or if there has been any follow-up.
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Summernole Oct 8, 2023
Mom's urologist suggested the D-Mannose, trying to urinate every two hours, the estrogen cream for her vaginal area three times a week and drinking water (but she doesn't push it (?)).

Now she wants to try PNE (Peripheral Nerve Evaluation). It involves the insertion of a couple of wires into mom's back to try and stimulate the bladder to empty. My brother and I do not like this idea.
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Summermole, I would make sure mom is using the estrogen cream. That and a probiotic made all the difference for my mom.
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My 78 year old mom had mild, recurrent UTIs for years. She was prescribed Methenamine by her urologist. It's worked like a charm and no side effects. No UTIs since she started taking it.

Also, AZO makes a great over-the-counter product: Cranberry Powder with a Probiotic + Vitamin C to support urinary health.

https://azoproducts.com/products/azo-cranberry-caplets
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Summernole Oct 9, 2023
I have a request in to my mom' doctor to consider the methenamine and AZO capsules.
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I just Googled PNE. What is it you don't like about this procedure?

https://pelvicfloorcenter.org/peripheral-nerve-evaluation-pne/#:~:text=What%20is%20Peripheral%20Nerve%20Evaluation,local%20anesthesia%20or%20numbing%20medication.

It sounds quite useful.
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Summernole Oct 9, 2023
It is the wires in her back that we don't like. She is 92 and has so many other aches and pains. I guess we need to consider it.
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Ask her doctor about estrogen. There’s a patch or vaginal pill that’s an alternative to messy creams.
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Summernole Oct 9, 2023
She is using the vaginal cream. Or, at least she tells me she is.
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Try Uquora, I am a victim of UTI infections having 2 to 3 a month. I was taking AZO like candy. My husband saw the Uquora add on TV and ordered it, I have had only 2 UTI in the last year. Its 2 capsuls every morning and every 3 days you mix a packet in 3/4 bottle of water. It tastes like pink lemonade. Each shipment lasts for a month. Hope this helps.
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Summernole Oct 14, 2023
I have seen the commercials, too, and wondered about it. I asked my mom's urogynecologist about it and she said she had never heard of it. I found that hard to believe but I am a little hesitant to get it if it is not recommened by her or my mom's ARNP. I am going to look in to it, though. Thanks for the advice.
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My mother was a very independent senior six months ago too. She had a complete shoulder replacement and her decline after the surgery is tremendous. Her surgery went well, the new shoulder is great, but she’s had such a decline that it’s just shocking. She’s had about 3 urinary tract infections too. She’s been in and out of rehabs and hospitals too.
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Summernole Oct 15, 2023
I'm so sorry for your mom - and you, Franline. I have really noticed a big mental decline in my mom since February when she started having the non-stop UTIs. They are continuous. She has fallen five times since then and been hospitalized twice and recently got out of rehab. I feel so badly for her because she is aware of the mental confusion. I'm hoping to get her to feeling a little better and then I will take her to a neurologist to see if any medications will help her. Good luck with your mom. You are not alone.
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I am 74 and began having UTI'S 2 years ago very often. I used the vaginal cream for several months, but did not help. I was finally prescribed a daily low dose antibiotic. This stopped the UTI S for about 6 months. I was prescribed a different low dose antibiotic and didn't have a UTI for 7 months.
This has worked very well for me. Prior to this I was continuously having UTI'S.
I would try to talk to Mom's urologist to request the antibiotic.
Best wishes
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Summernole Oct 20, 2023
What was the antibiotic that worked for you, Chickie? I have asked the urogynecologist for a low dose daily antibiotic for Mom. She did not like the idea. I will see her again this Tuesday and ask her again.
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Instead of estrogen cream externally (or internally which is messy) look into vaginal estrogen tablets. 2X per week inserted. It can make a world of difference.
Brand is Vagifem, generics available:

https://www.vagifem.com/
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