Recurrent UTIs: What is biofilm and how do you outsmart it?

Sep 10, 2018 | Kimberly Williams

Recurring UTIs can be a frustrating code to crack. Despite going the extra mile to stay on top of the exhaustive list of UTI prevention tips (staying hydrated, peeing after sex, not holding in your urine for too long, etc.), some UTIs really do come out of left field. What role does biofilm have in recurring UTIs and how do you outsmart it?

 First of all, what is classed as a recurring UTI?

A recurring urinary tract infection can be defined as three episodes of a UTI in the previous 12 months or two episodes within the previous 6 months. While these UTIs seem to happen independently of one another, they could be the result of one larger underlying infection that was never eradicated with the first round of antibiotics.

 Biofilm: the process, structure, and function

Urinary tract infections are caused by free-floating bacteria such as E.coli. While these bacteria normally colonize you gastrointestinal tract and anus, they can travel up your urethra to your bladder and multiply. You experience the common UTI symptoms, see a doctor, and are prescribed antibiotics. These antibiotics are usually successful at eliminating the free-floating bacteria in your bladder. However, if you suffer from spontaneous recurrent UTIs, biofilm could be to blame.  


Biofilm is when those free-floating bacteria in your bladder join together and adhere to your bladder wall. They create a protective slimy shield which allows complex microbial colonies to flourish. The biofilm process produces antibiotic resistant bacteria, that are dormant until  bacteria escape the biofilm pocket and become free-floating bacteria in your bladder. This triggers your body’s inflammatory responses and perpetuates the recurrent UTI cycle. If antibiotics can’t eliminate the recently released bacteria, they can form new biofilm pockets in your bladder, or it can invade the cells in your bladder and create intracellular bacterial communities (ICB).

 How do you prevent recurring UTIs?

26-44 % of women who have experienced a UTI will have a recurring one within six months. Here are some pointers to help with prevention:

  • If you are experiencing UTI symptoms (painful urination, bloody, murky or cloudy urine, pelvic pain etc.), contact your doctor ASAP to get treated. The longer you wait, the more chances bacteria have to multiply and create biofilm-equipped colonies.
  • Take control of your urinary health. Keep hydrated, pee after sex, avoid feminine sprays/ douches, wipe front to back.
  • Be proactive when it comes to speaking with your doctor. Have them refer you to a specialist if a 3-10 day course of antibiotics isn’t cutting it anymore.
  • Try Uqora Control. A daily capsule that keeps your UTI defenses in check.

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"I suffered from CHRONIC UTIs and have had some pretty serious repercussions from taking mass amounts of antibiotics. I have not had a UTI since I started taking uqora. I drink it after things that are my triggers (sex in particular) and it stops it in it’s tracks!"
Lacey, Uqora customer
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