The Urologic Side Effects of Breast Cancer Treatment Most Women Don't Know About

"Physicians typically do not address the urologic side effects of breast cancer treatment and most women don't think to ask. The fact is, chemotherapy is a bladder irritant," explained Lisa Hawes, M.D., a female urology specialist at Chesapeake Urology in Maryland.  "Many women going through breast cancer treatment who experience the symptoms of a bladder infection or a urinary tract infection (UTI) such as frequency, urgency, and burning, think the bladder issues are temporary and will go away once the treatment is over. But many women continue to experience bladder symptoms well after treatment."

How Chemotherapy Affects the Bladder

Bladder issues and UTIs are sometimes caused by changes in estrogen levels. Breast cancer chemotherapies may be anti-estrogens, meaning they work against hormone-receptor-positive breast cancer and may stop some cancer cells from growing. Used to prevent and treat breast cancer, anti-estrogens can also cause vaginal atrophy, which can lead to bladder issues such as recurrent UTIs. Dr. Hawes explains that the bladder tends to be estrogen sensitive, so as women lose estrogen, many experience common UTI symptoms of urinary frequency and urgency.

In addition, because many women undergoing chemotherapy are often immunosuppressed, recurrent bladder infections can be more common.

Are Symptoms Really a UTI?

While it is more likely that urinary symptoms during chemotherapy to treat breast cancer are an actual UTI, the feeling of a bladder infection without an actual infection can linger for months after treatment has stopped.

"Many women experience chronic cystitis, or the feeling of a UTI without the presence of an actual infection after undergoing breast cancer treatment," says Dr. Hawes. "This is actually a common, but lesser known side effect of breast cancer treatment that we can ease with certain medications as well as diet changes."

Women who experience symptoms of a chronic UTI or bladder issues such as urinary frequency, urgency, burning, or discomfort on urination, should be seen by a urologist. A urologist will test for blood in the urine, which may indicate a bladder infection. In some cases, a urologist may also order a cystoscopy, a test to examine the urethra and bladder lining for presence of other causes for the bladder symptoms.

Dr. Hawes also encourages women undergoing chemotherapy to eliminate other bladder irritants to help ease side effects:

• Drink plenty of water before, during, and after chemotherapy to flush toxins out of the bladder.
  
  
• Avoid certain foods that are common bladder irritants such as caffeine, spicy and/or acidic foods, carbonated drinks and other trigger foods.
  
  
• Address constipation, which is common with certain chemotherapy drugs. Constipation puts added pressure on the pelvic floor and bladder, which can lead to symptoms such as frequency and urgency without the presence of infection.  

"Women undergoing breast cancer treatment are naturally focused on their treatment and subsequent recovery, so it's not uncommon for them to push bladder issues to the back burner while they focus on beating the disease," says Dr. Hawes. "I want women to know that recurrent UTIs and bladder issues during and after chemotherapy are not uncommon. Don't be hesitant to address your bladder health. There is help available."

For more information on bladder health and bladder control problems, visit https://womenshealth.chesapeakeurology.com/.

To find a urologist near you, visit https://www.chesapeakeurology.com/physicians/ or call Chesapeake Urology at 866-953-3111.

About Chesapeake Urology
Chesapeake Urology is a fully-integrated urology practice providing a comprehensive array of urologic services to its patients. The Company, including its Urological Consultants division, operates 25 medical offices and 17 AAAHC-certified ambulatory surgery centers in Baltimore, Harford, Howard, Carroll, Montgomery, Prince George's, and Anne Arundel counties and in Baltimore City, and has a staff of more than 725 including 87 physicians, 80 which are urologists. Chesapeake has been named one of the top places to work in healthcare nationally by Modern Healthcare magazine and Becker's ASC Review, and locally by the Baltimore Sun, Baltimore magazine and the Baltimore Business Journal.  For information about Chesapeake Urology, please visit ChesapeakeUrology.com.

CONTACT:
Patricia Schnably, VP of Marketing and Communications
Chesapeake Urology Associates
443-738-8107; [email protected]; ChesapeakeUrology.com

SOURCE Chesapeake Urology Associates

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