How does the microbiome affect urologic health, and what role does it play in urinary tract infections (UTIs)? In this episode of BackTable Urology, Dr. Lennie Ackerman from UCLA joins host Dr. Suzette Sutherland to discuss the bladder microbiome and innovative methods for detecting UTIs.

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SYNPOSIS

Dr. Ackerman and Dr. Sutherland talk through the challenges of diagnosing chronic UTI symptoms, the limitations of standard urine cultures, and the role of new, enhanced culture methods and molecular diagnostics. They emphasize the importance of clinical judgment, the potential misuse of antibiotics, and the need for a long-term approach to managing urinary symptoms while maintaining a healthy microbiome.

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TIMESTAMPS

00:00 - Introduction

01:58 - The Bladder Microbiome

05:44 - Challenges in Diagnosing UTIs

16:36 - Enhanced Quantitative Urine Culture

21:30 - Molecular Diagnostic Approaches

34:01 - Chronic UTIs and Long-Term Management

46:10 - Conclusion