European Association of Urology
Guidelines
Education & Events
Join our events Join our events
On-demand education Learn at your own pace
Scholarships Enrich your capabilities
Exchange Programmes Urology beyond Europe
Education Educational Platforms Talent Incubator Programme Accreditation
Science & Publications
Publications Our publications
Research & Science Passionate about research?
About
Who we are Our mission and history
Our Board and Offices How we work
Join the EAU Find out about membership
Vacancies Contact
Guidelines

Urological Infections

Want to read the guideline in your own time? Download the PDF

Download full guideline

Looking for a quick overview? Check the pocket guidelines.

Download pocket guidelines
Full text guidelineSummary of ChangesPublications & AppendicesPanelRelated content
  • 2024
  • 2025
  • 2023
  • 2022
  • 2021
  • 2020
2022
  • 2024
  • 2025
  • 2023
  • 2022
  • 2021
  • 2020
  • No elements found. Consider changing the search query.
  • List is empty.

For the 2022 Urological Infections Guidelines, new and relevant evidence was identified, collated and appraised through a structured assessment of the literature. Broad and comprehensive literature searches, covering specific sections were performed. Databases searched included Medline, EMBASE, and the Cochrane Libraries. The number of unique records identified, retrieved and screened for relevance for each section were:

  • 3.5 Recurrent UTI: 3,582 unique abstracts; 361 full texts; 44 included.
  • 3.12 Acute Infective Epididymitis: 263 unique abstracts; 41 full texts; 9 included.
  • 3.15 Peri-procedural Antibiotic Prophylaxis: 927 unique abstracts; 53 full texts; 14 included

Specific changes include:

  • Section 3.5 Recurrent UTI – This section has been comprehensively updated and new treatment recommendations have been made.

Recommendations

Strength rating

Diagnose recurrent UTI by urine culture.

Strong

Do not perform an extensive routine workup (e.g cystoscopy, full abdominal ultrasound) in women younger than 40 years of age with recurrent UTI and no risk factors.

Weak

Advise pre-menopausal women regarding increased fluid intake as it might reduce the risk of recurrent UTI.

Weak

Use vaginal oestrogen replacement in post-menopausal women to prevent recurrent UTI.

Strong

Use immunoactive prophylaxis to reduce recurrent UTI in all age groups.

Strong

Advise patients on the use of local or oral probiotic containing strains of proven efficacy for vaginal flora regeneration to prevent UTIs.

Weak

Advise patients on the use of cranberry products to reduce recurrent UTI episodes; however, patients should be informed that the quality of evidence underpinning this is low with contradictory findings.

Weak

Use D-mannose to reduce recurrent UTI episodes, but patients should be informed that further studies are needed to confirm the results of initial trials.

Weak

Use endovesical instillations of hyaluronic acid or a combination of hyaluronic acid and chondroitin sulphate to prevent recurrent UTIs in patients where less invasive preventive approaches have been unsuccessful. Patients should be informed that further studies are needed to confirm the results of initial trials.

Weak

Use continuous or post-coital antimicrobial prophylaxis to prevent recurrent UTI when non-antimicrobial interventions have failed. Counsel patients regarding possible side effects.

Strong

For patients with good compliance self-administered short-term antimicrobial therapy should be considered.

Strong


About EAU
  • Who we are
  • How we work
  • Become a member
Services
  • MyEAU
  • Congress registrations
  • Abstract submission
Media
  • EAU News
  • EAU Newsletter
  • EAU Press Releases
Contact
  • EAU Central Office
    PO Box 30016
    NL-6803 AA ARNHEM
    The Netherlands

  • Contact us
About EAU
Who we areHow we workBecome a member
Services
MyEAUCongress registrationsAbstract submission
Media
EAU NewsEAU NewsletterEAU Press Releases
Contact

EAU Central Office
PO Box 30016
NL-6803 AA ARNHEM
The Netherlands

Contact us
European Association of Urology
Privacy PolicyDisclaimer