Skip to content
Mr Haitham Teleb

Condition

Recurrent urinary tract infections

Recurrent urinary tract infections are exhausting, disruptive and often dismissed. A structured urological assessment can identify an underlying cause and build a tailored prevention plan.

Overview

What is this condition?

A urinary tract infection (UTI) is considered recurrent when there are two or more infections within six months, or three or more within a year.

The goal of a specialist review is not simply to treat each infection, but to find and correct the underlying reason they keep happening.

Common symptoms

Symptoms to be aware of

Symptoms vary from person to person. Specialist assessment helps determine the underlying cause.

  • Burning when passing urine

  • Frequency and urgency

  • Cloudy or foul-smelling urine

  • Lower abdominal or pelvic pain

  • Fever or loin pain

    Suggests kidney involvement.

  • Symptoms returning shortly after antibiotics

Possible causes

What can cause it

  • Incomplete bladder emptying

    A leading, treatable cause of recurrent infections.

  • Bladder or kidney stones

    Provide a surface for bacteria to persist.

  • Postmenopausal changes

    Vaginal atrophy is a common contributor in women.

  • Sexual activity

    A common trigger — usually manageable with simple strategies.

  • Underlying urological conditions

    Reflux, diverticula and other structural issues.

Many causes are benign and highly treatable. A structured consultant-led assessment is the fastest way to reach a clear diagnosis and a personalised plan.

When to seek medical advice

Some symptoms should always prompt prompt specialist review. Please seek urgent medical advice — through your GP, NHS 111 or A&E — if you notice any of the following.

  • High fever, shivering or loin pain
  • Blood in the urine between infections
  • Recurrent infections with the same bacterium
  • Failure to respond to appropriate antibiotics
  • New confusion in older adults

Diagnosis

How the diagnosis is made

Diagnosis follows a clear, patient-centred pathway — often completed within one or two visits.

  1. 01

    Medical history

    Detailed review of infection pattern, triggers and past treatments.

  2. 02

    Examination

    Abdominal and, where appropriate, pelvic examination.

  3. 03

    Urine tests

    Repeat cultures to confirm the organisms and antibiotic sensitivities.

  4. 04

    Blood tests

    Kidney function and diabetes screening.

  5. 05

    Bladder scan

    Post-void residual to check emptying.

  6. 06

    Imaging and cystoscopy

    Ultrasound and flexible cystoscopy to look for underlying causes.

Treatment options

Treatments tailored to you

Treatment is personalised through shared decision-making. Both conservative and procedural options are considered where appropriate.

Frequently asked questions

Your questions, answered

Why patients choose Mr Teleb

Consultant-led urology care you can trust.

  • Consultant-led care

    Every consultation, investigation and follow-up is with Mr Teleb personally.

  • NHS Consultant

    Substantive Consultant Urologist at University Hospital of Wales.

  • Evidence-based treatment

    Modern, guideline-based care delivered to a high standard.

  • Rapid access

    Most new patients are seen within a few days.

  • Personalised management

    Treatment plans tailored to your anatomy, health and priorities.

  • Clear communication

    Unhurried explanations, written summaries and shared decision-making.

Concerned about your symptoms?

Arrange a private consultation.

Mr Teleb personally reviews every enquiry. If your symptoms are worrying you, a consultation is the fastest way to a clear diagnosis and a personalised plan.

  • FRCS (Urol)

    Fellowship-trained consultant

  • 5.0 patient rating

    Verified private reviews

  • Seen within days

    Same-week appointments

  • All major insurers

    BUPA · AXA · Aviva · Vitality · WPA

appointments@spirecardiff.com

Arrange a consultation

Arrange your private consultation.

I see most new private patients within a few days. Send me a confidential enquiry or book directly into my clinic online — I'll personally review your concerns and guide you from there.

  • FRCS (Urol)

    Fellowship-trained consultant

  • 5.0 patient rating

    Verified private reviews

  • Seen within days

    Same-week appointments

  • All major insurers

    BUPA · AXA · Aviva · Vitality · WPA

appointments@spirecardiff.com

Call Book appointment