Urinary health
31st Dec, 2022

 

The urinary tract produces and stores urine and eliminates it from the body (1). It filters waste and excess fluid from the blood and removes them from the body (2). It comprises the kidneys, the bladder, the ureters (tubes that connect the kidneys to the bladder) and the urethra (a tube that drains urine from the bladder) (2).  

In Australia, 1 in 2 women and 1 in 20 men are affected by urinary tract problems (3). Urinary tract issues can affect the urinary tract as a whole or certain parts of the tract. Urinary tract disorders include urinary tract infections (UTIs), urinary incontinence (the involuntary leakage of urine), kidney stones, pyelonephritis (kidney infection), cystitis (inflammation of the bladder due to an infection), urethritis (inflammation of the urethra), and an overactive bladder (urinary urgency or frequency) (4,5,6). 

Risk factors for urinary tract issues include constipation, frequent intercourse, diabetes, urinary tract blockages, a suppressed immune system, the use of certain contraceptives and menopause (2,3,7). Symptoms of urinary tract issues include frequent urination, involuntary leakage of urine, delirium (particularly in the elderly), a strong urge to urinate, painful urination, bloody or cloudy urine and cramping in the lower abdomen (3,7,8,9,10).  

Lifestyle modifications that may reduce the risk of urinary tract problems include: staying hydrated, wiping front to back after urinating, urinating before and after intercourse, wearing cotton underwear, adequate exercise, a healthy diet, stress management, and limiting alcohol consumption (3,4,11).  

There are a variety of natural interventions, including herbs and nutrients in combination with a healthy diet and lifestyle, that can improve your urinary health and reduce the risk of urinary tract issues (9,10,11,12,13).  

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References
1de Groat WC, Yoshimura N. Anatomy and physiology of the lower urinary tract. Handb Clin Neurol. 2015;130:61-108.
2Hickling DR, Sun TT, Wu XR. Anatomy and physiology of the urinary tract: relation to host defense and microbial infection. Microbiol Spectr. 2015 Aug;3(4):26350322.
3Kidney Health Australia. Urinary Tract Infections [Internet]. 2018 [cited 2022 Dec 1]. Available from: https://kidney.org.au/uploads/resources/KHA-Factsheet-urinary-tract-infections-2018.pdf
4Hu JS, Pierre EF. Urinary incontinence in women: evaluation and management. Am Fam Physician. 2019 Sep 15;100(6):339-48.
5Kolman KB. Cystitis and pyelonephritis: diagnosis, treatment, and prevention. Prim Care. 2019 Jun;46(2):191-202.
6Leron E, Weintraub AY, Mastrolia SA, Schwarzman P. Overactive bladder syndrome: evaluation and management. Curr Urol. 2018 Mar;11(3):117-25.
7Medina M, Castillo-Pino E. An introduction to the epidemiology and burden of urinary tract infections. Ther Adv Urol. 2019 May 2;11:1756287219832172.
8Rarrick C, Hebbard A. Creation and implementation of a urinary tract infection diagnostic and treatment algorithm for psychiatric inpatients with a communication barrier. Ment Health Clin. 2020 Mar 30;10(2):64-69.
9Shaheen G, Akram M, Jabeen F, Ali Shah SM, Munir N, Daniyal M, et al. Therapeutic potential of medicinal plants for the management of urinary tract infection: A systematic review. Clin Exp Pharmacol Physiol. 2019 Jul;46(7):613-24.
10Zhou J, Jiang C, Wang P, He S, Qi Z, Shao S, et al. Effects and safety of herbal medicines on patients with overactive bladder: A protocol for a systematic view and meta-analysis. Medicine (Baltimore). 2019 Sep;98(37):e17005.
11Sihra N, Goodman A, Zakri R, Sahai A, Malde S. Nonantibiotic prevention and management of recurrent urinary tract infection. Nat Rev Urol. 2018 Dec;15(12):750-76.
12Kranz J, Lackner J, Künzel U, Wagenlehner F, Schmidt S. Phytotherapy in adults with recurrent uncomplicated cystitis. Dtsch Arztebl Int. 2022 May 20;119(20):353-60.
13van Wietmarschen H, van Steenbergen N, van der Werf E, Baars E. Effectiveness of herbal medicines to prevent and control symptoms of urinary tract infections and to reduce antibiotic use: A literature review. Integr Med Res. 2022 Dec;11(4):100892.