The most common enquiry we receive is: ‘Can you recommend a chronic UTI doctor in Australia?’. As a national advocacy organisation, we are unable to give treatment or practitioner recommendations. Unlike the United Kingdom, there are no chronic urinary tract infection (UTI) specialist clinics or doctors in Australia that we are currently aware of.
Despite a general lack of awareness and progress around acknowledging, recognising, diagnosing and treating chronic UTI in Australia, we know there are growing numbers of Australians being diagnosed and successfully treated for chronic UTI. The great news is, in most cases chronic UTI treatment is being provided by a general practitioner (GP) already known to the patient.
How are people accessing chronic UTI treatment in Australia?
Patients tell us that the most common chronic UTI diagnostic and treatment protocol being accessed in Australia is the scientifically validated chronic UTI treatment protocol developed and used in the United Kingdom at the LUTS Clinic at Whittington Hospital, London (headed by Dr Raj Khasriya) and the Chronic UTI Clinic in Harley Street, London (previously heading by Professor James Malone-Lee).
We are told that Australians can book a face-to-face (in person) or telephone/online video appointment with a doctor at the Harley Street Chronic UTI Clinic. A referral is not required for international patients. At the initial appointment the patient is assessed, diagnosed and, if required, a written treatment plan is provided by email to the patient’s nominated Australian GP. There is a private consultation fee which is not claimable from Medicare or Australian private health insurers. GPs can contact the London Chronic UTI Clinic direct with questions or to request additional information, free of charge. If agreeable, the patient’s Australian GP will write prescriptions and request other tests that might be required throughout the treatment period. On becoming a patient of the Harley Street clinic, people can access the email service to report a deterioration in symptoms or side effects etc. The patient email service incurs a fee.
A small number of Australians have told us they are receiving chronic UTI treatment from Dr Stewart Bundrick in the United States. They tell us they book appointments through Dr Bundrick’s clinic and consult with him over an online video appointment. Dr Bundrick requests that new patients send a urine sample to an American DNA testing clinic of his choice before the first appointment, and possibly at various stages throughout the treatment depending on treatment response and progress. There are significant costs associated with DNA testing (which could require multiple tests) and serious concerns around the validity of the test results in relation to diagnosing chronic UTI and directing treatment*. Patients consulting with Dr Bundrick have told us they access their medication from online pharmacies or through a local prescribing GP.
As stated above, this information is provided to help with your own research. We cannot stress enough that it is important to continue researching your options by reading information and talking to others in the chronic UTI community who are undergoing treatment or researching their treatment options. We share more information on how to connect with the global chronic UTI community further below.
*There is no evidence or consensus in the scientific community on the accuracy of DNA-based molecular testing to diagnose chronic UTI. Some leading UTI researchers do not support the use of DNA-based molecular testing to diagnose chronic UTI or direct treatment due to the current lack of understanding of the urinary microbiome and the inability to conclusively identify and describe the microbes responsible for health and disease. We do accept that people improve under the care of practitioners who employ DNA testing to help guide treatment. Therefore, it may be best used by experienced practitioners in conjunction with the patient’s history, symptoms and other tests.
How do doctors access the chronic UTI treatment protocol used in the United Kingdom?
How does the treatment process work in Australia?
How do people access the medication needed to treat chronic UTI?
Why do Australians have to research their own diagnosis and treatment?
How to find information and support