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Old 05-31-2014
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Default UTI prophylaxis

Is voiding BEFORE intercourse a prevention method for UTIs?

I know the USMLE has voiding after intercourse as a way to prevent UTIs but if on the exam voiding before intercourse is given as a choice, is that correct?
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Old 05-31-2014
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Quote:
Originally Posted by aawe004 View Post
Is voiding BEFORE intercourse a prevention method for UTIs?

I know the USMLE has voiding after intercourse as a way to prevent UTIs but if on the exam voiding before intercourse is given as a choice, is that correct?
The bacteria that exists on the mucosae is going to be pushed up the urethra during intercourse because of the friction. Voiding after intercourse flushes out the bacteria that are now either already in the bladder or in the urethra.

If the woman urinates before sex: 1) it's pointless for UTI prophylaxis; 2) there would barely be any urine in the bladder to be able to efficiently flush out the bacteria after intercourse.
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Old 06-02-2014
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"If possible, urinate before and after coitus (sexual intercourse). This is more applicable in women though. The pressure and friction produced in the perineal area during sex can push the bacteria into the urinary tract that may cause UTI. Urinating before sex can help wash out the opportunistic bacteria around the area."
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