The Wellington Hospital · 9 Harley Street · Spire Bushey · Chase Lodge 0204 558 6750  ·  [email protected]
Consultant-led UTI information

UTIs are common.
Living with them shouldn’t be.

Nouti is an independent UTI information resource, written and clinically reviewed by Mr Torath Ameen, Consultant Urologist. Clear, evidence based answers on acute, recurrent and chronic urinary tract infection, and on what a specialist can do when infections will not go away.

Book a specialist review Start with the basics

Where are you right now?

I have a UTI now

Symptoms, treatment, what you can do today, and the warning signs that mean you should seek help urgently.

Understanding UTI →

My UTIs keep coming back

Two infections in six months, or three in a year, is recurrent UTI. It has causes, and they can be found and treated.

Recurrent UTI →

My tests are normal, but my symptoms are not

Negative dipsticks and clear cultures do not always mean there is no infection. Read a balanced account of the chronic UTI evidence.

Chronic UTI: the evidence →

My UTIs follow sex

A common and very treatable pattern. Why it happens, which contraception raises the risk, and what genuinely prevents it.

UTI after sex →
Mr Torath Ameen, Consultant Urologist, in theatre

Written by a specialist, not a content team

Every clinical page on this site is authored and reviewed by Mr Torath Ameen, Consultant Urologist and robotic surgeon (GMC 7410052). Mr Ameen treats urinary tract infection every week of his working life, medically and surgically, from a first infection to complex recurrent and persistent cases, at The Wellington Hospital, 9 Harley Street, Spire Bushey and Chase Lodge Hospital in London and Hertfordshire. He has also formulated UTI food supplements, so he knows that side of the field from the inside.

  • Consultant Urologist
  • Robotic surgeon, 500+ procedures
  • Cancer and reconstructive urology
  • Medical and surgical UTI treatment
  • The Telegraph · BBC News · LBC

Full profile at drtorath.com →

Why Nouti exists

Around half of all women will have a urinary tract infection at some point, and for many the story does not end with one course of antibiotics. Some find themselves in a cycle of repeated infections, repeated GP appointments and repeated prescriptions, without anyone asking why the infections keep happening. Others have ongoing symptoms despite tests that keep coming back “normal”, and start to feel disbelieved.

This site exists for both groups. It sets out what good treatment of a simple UTI looks like, what the evidence supports for preventing recurrent infection, and where the science currently stands on chronic UTI. No products are sold here. The purpose is accurate information, and a clear path to specialist help for those who need it.

Prevention that is backed by evidence

There are more options than repeat antibiotics. On the treatment options page you will find an honest, referenced verdict on each one: vaginal oestrogen after the menopause, methenamine hippurate with vitamin C (the antibiotic sparing option), antibiotic strategies used well, D-mannose, cranberry extract and probiotics and what the trials really show, bladder instillations, and the sublingual UTI vaccine.

Explore the options and the evidence →

Treated by the person who investigates you

Urinary infection sits on a spectrum. At one end it is a prescription and some advice; at the other it is a stone that needs removing, a prostate that needs treating, a cancer that needs excluding, or a urinary tract that needs reconstructing. Mr Ameen is a robotic surgeon working in urological cancer and reconstructive urology, and recurrent infection is one of the commonest ways the problems those fields address first show themselves. The whole of that spectrum is available in one place: the cystoscopy that finds the cause and the operation that corrects it are performed by the same person who made the plan with you.

Common questions

Can a UTI go away on its own?
Some mild bladder infections do settle without antibiotics, and for healthy, non-pregnant women a short delay with fluids and pain relief is a recognised option. But worsening symptoms, fever, loin pain, visible blood in the urine, pregnancy, or any UTI in a man should always prompt medical review.
Why do I keep getting UTIs?
Common reasons include hormonal changes after the menopause, incomplete bladder emptying, sexual activity, stones and, occasionally, an underlying bladder abnormality. Recurrent infection is a pattern with causes, and a specialist assessment is designed to find them. Recurrent infections need investigation, not just antibiotics.
My urine tests are always negative. Can I still have an infection?
Sometimes, yes. The standard urine culture was designed decades ago to detect kidney infection, and it can miss lower grade or bladder wall based infection. A negative test with persistent symptoms is a reason for a more thorough assessment, not for dismissal.
Do I need a referral to see Mr Ameen?
No. Self paying patients can book directly online. If you are using private medical insurance, your insurer may ask for a GP referral first, so check your policy before booking.

Ready for answers rather than another prescription?

A specialist review looks for the cause, not just the current infection. Initial consultation £300, follow up £200, fee assured for insured patients.

Book online Or call 0204 558 6750 · WhatsApp