The woman and the bladder – or to put it better – bladder inflammation. It is a never-ending story. Nature intended it. «The female urethra is very short at 2 to 3 cm, which favours the ascent of bacteria from the gut into the bladder», says Associate Professor PD Dr. Daniele Perucchini, a urogynaecologist in Zürich.
He has worked on this subject for 20 years and runs his own bladder centre. «Added to this, the urethral opening, in contrast to the male, is immediately adjacent to the vaginal opening and the anus.». After menopause, hormonal deficiency makes the bladder mucosa even more prone to infections. Dr. Perucchini: «The local hormone deficiency is one of the most important reasons why bladder inflammation occurs increasingly frequent after menopause. Sexual intercourse also seems to favour more frequent bladder inflammation.» Around half of all women suffer from recurrent urinary tract infections. Most commonly, gut bacteria called E. coli are the culprits.
The treatment of acute urinary tract infections with antibiotics is routine. But what should be done when the next infection already comes before the old one is properly healed? Is there an alternative to a prescription for an antibiotic, which necessarily comes with the danger of resistance formation? Yes, there is. And it is called D-Mannose. This is a simple sugar, which is closely related to glucose. Dr. Perucchini has had many years of good experiences with D-Mannose in women with recurrent bladder inflammation. In his specialist consultations he advises his patients explicitly on the possibility of preventing bladder infection with totally natural and effective means. How does this specialist explain the action? «D-Mannose is a sugar which is barely absorbed when taken by mouth. It is excreted into the urine virtually unchanged and thus reaches the bladder. There, by virtue of its chemical structure, it binds to the bacteria and inhibits their adhesion to the bladder wall. Subsequently the conglomerates of E. coli and D-Mannose are excreted with the urine.
This action is scientifically supported by a study. Dr. Perucchini describes D-Mannose as an outstandingly well-tolerated option for the prevention of urinary tract infections, without the danger of resistance formation, and thus as a gentle alternative to repeated courses of antibiotics. The urogynaecologist warns, however, that when there are signs of severe inflammation and in every case when there is fever, a course of antibiotics may still be necessary. The simple sugar D-Mannose has no effect on either calorie balance or blood sugar and can also be used by diabetics following consultation with their doctor.
Source: An end to bladder infections, PD Dr. Daniele Perucchini, Consultation Dr. Stutz, 12.2015