"Frequent urinary tract infection"

About: Queen's Hospital, Burton Upon Trent / Urology

(as the patient),

I had surgery for an enlarged prostate gland in early July 2005.

After surgery, I suffered an extremely unpleasant "proteus" infection and was repeatedly re-admitted to hospital. Ever since then, I have experienced frequent UTIs, which have necessitated equally frequent prescriptions for antibiotics.

Ultimately I was referred back to Queen's hospital, Burton upon Trent for further investigations late 2012/early 2013. The final step in this process was a cystoscopy last week.

I had been led to expect a local anaesthetic for this procedure, but as far as I was aware none was given. It was an extremely painful and distressing experience - not made any easier by difficulties communicating with the registrar.

Within 2 days I began to experience yet another UTI. But this time it is very significantly worse than anything I've experienced since the original surgery. I have once again been prescribed antibiotics by my GP, so far they seem to be having little effect.

Life is increasingly dominated by my bladder and there are times when I wonder why I ever had the original prostate surgery.

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Response from Gay Vaughan, Corporate Development Officer, Burton Hospitals NHS Foundation Trust

It is extremely difficult to respond to a comment without knowing the specific details as each patient and associated clinical scenario can be quite different. Proteus organisms are a virulent type of common urinary tract bacteria which are usually associated with complicated bladder outflow obstruction or urinary catheters or bladder stones. Hence one can understand the need for a cystosopy to exclude any serious bladder pathology.

We are sorry for the painful experience which you described. We can assure you that each patient undergoing flexible cystoscopy is given a local anaesthetic gel (unless they are allergic to it). However, its impact may take longer in some cases. Symptoms described by you suggest a pre-existing infection at the time of cystoscopy which exacerbated the pain and made you feel unwell afterwards.

We are sorry for the perception that the Registrar was not able to communicate well. We have so far had no negative feedback about their communication but would be very happy to take this on board and look into it further for the sake of better patient care and the Registrars own improvement as well.

To enable us to look into the details further and provide a more thorough explanation, we would encourage that our Patient Advice and Liaison Service is contacted with further details. This can be done via 01283 593110 (voicemail for out of hours calls) or email: pals@burtonft.nhs.uk

Mr Sikandar Khwaja

Consultant Urologist (Clinical Lead)

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