Urine Infection in Older People - Causes

Authored by Dr Mary Harding, 24 Mar 2016

Patient is a certified member of
The Information Standard

Reviewed by:
Dr Laurence Knott, 24 Mar 2016

There are two kidneys - one on each side of the tummy (abdomen). They make urine which drains down tubes called ureters into the bladder. Urine is stored in the bladder and is passed out of the bladder through a tube called the urethra, when we go to the toilet.

Male genitals and urinary tract
Side view of female genitals and cross-section diagram of urinary tract

Most urine infections are caused by germs (bacteria) that come from your own bowel. They cause no harm in your bowel but can cause infection if they get into other parts of your body. Some bacteria lie around your back passage (anus) after you pass a stool (faeces). These bacteria sometimes travel up the tube called the urethra and into your bladder. Some bacteria thrive in urine and multiply quickly to cause infection.

A urine infection is often called a urinary tract infection (UTI) by doctors. When the infection is just in the bladder and urethra, this is called a lower UTI. If it travels up to affect one or both kidneys as well then it is called an upper UTI. This can be more serious than lower UTIs, as the kidneys can be damaged by the infection.

In many cases the infection occurs for no apparent reason. There is no problem with the bladder, kidney, prostate, or defence (immune) system that can be identified. In other cases, an underlying problem can increase the risk of developing a urine infection.

In older women

In older men

An enlarged prostate may stop the bladder from emptying properly. Some urine may then pool in the bladder. Germs (bacteria) are more likely to multiply and cause infection in a stagnant pool of urine. See separate leaflet called Prostate Gland Enlargement for more details.

In either

  • Bladder or kidney problems may lead to infections being more likely. For example, kidney stones or conditions that cause urine to pool and not drain properly.
  • Having a thin, flexible, hollow tube (called a catheter) in place to drain urine.
  • An underlying health condition may also be responsible. A poor immune system increases the risk of having any infection, including urine infections. For example, if you are having chemotherapy to treat cancer. Diabetes can also increase your risk of having urine infections.
  • Being constipated. If your lower gut (bowel) is full and swollen, it may press on the bladder. This may stop it emptying properly, making you more prone to urine infection.

Further reading and references

Hello,So basically I've been suffering with bv, yeast infections and Uti's. I've had 3 different antibiotics for bv, and 2 for Uti's. During my last rounds of test everything came back negative, but...

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