علاج التهاب المثانة المتكرر لدى النساء: إدارة ثلاث نوبات أو أكثر في السنة

References

• Recurrent cystitis is defined by at least three episodes of cystitis per year or two episodes of cystitis in the last six months.
• Advise pre-menopausal women regarding increased fluid intake, as it might reduce the risk of recurrent cystitis.
• Use vaginal oestrogen replacement in post-menopausal women to prevent recurrent cystitis.
• Advise patients on the use of cranberry products for symptom relief in acute cystitis and to prevent recurrence; however, patients should be informed that the quality of evidence underpinning this is low with contradictory findings.
• Use D-mannose to reduce recurrent cystitis episodes, but patients should be informed of the overall weak and contradictory evidence of its effectiveness.
• Use methenamine hippurate to reduce recurrent cystitis episodes in women without abnormalities of the urinary tract.
• Advise patients on the use of a local or oral probiotic containing strains of proven efficacy for vaginal flora regeneration to prevent cystitis.
• Advise patients on the use of a combination of xyloglucan, hibiscus and propolis, or Centaurii herba, Levistici radix and Rosmarini folium to reduce recurrent cystitis episodes and reduce antibiotic use.