Soarawee Weerasopone, Urologist
Samitivej Sriracha hospital, Thailand
We Wellness clinic, Chonburi Thailand
Royal Phnom Penh hospital, Cambodia
It does matter that cystitis recur, dramatically impacted on quality of life for women who have suffered the disease. As my experience, I literally talked with fewer patients whom frequently suffered the bladder infection almost every single month. This article will mainly describes about how to prevent bladder infection or lowering the recurrence rate of Escherichia coli reinfection by yourself without using an unnecessary antibiotic which sometimes drug-resistance bacteria getting more and more problems in Cambodia and elsewhere in the world.
- Samitivej Sriracha hospital contact number 088-022-1445
- Burapha University hospital contact number 084-621-2969
- Royal Phnom Penh hospital contact number 012-991-000
3 Steps prevent bladder infection by yourself.
- Life-style modification
Strong evidences show that a frequent of sexual activity mainly related to a recurrent bladder infection. Spermicide using, new sex partner, multiple sex partners, history of STDs and Obesity (BMI > 30) all involved and participated. Some suggestions, for instance, changing spermicide agents, changing method of contraceptive or losing body weight may prevent bladder infection.
- Topical Estrogen cream
Postmenopausal women always experience a vaginal dryness which causing an Estrogen deficiency and this is a primarily factor making cystitis more easily to recur. Strong evidences show that there’s only a topical vaginal Estrogen cream will gain benefit on this, but taking oral Estrogen is uncounted. Nevertheless, no benefit on prevent bladder infection and the oral Estrogen tablet has also reported on an abnormal vaginal bleeding and breast tenderness.
- Non-antibiotic supplements
- Cranberry juice – Pro-anthocyanin, a chemical which rich in Cranberry has effect on E coli adherence to and displacement from bladder mucosal cells leading to possibly prevent bladder infection. There is a randomised trial shows that both 20% Cranberry juice and 18% Cranberry extraction is able to lowering at least 1 symptomatic bladder infection over 12 months.
- Vitamin C – Ascobic acid be able to acidify the urine pH which have bacteriostatic effect. There is a trial shows that 100 mg of daily Vitamin C supplement significantly lower risk of bladder infection after 3 months treatment.
- D-Mannose – A monosaccharide sugar can be excreted via urine. D-Mannose mimics bladder mucosal cells, the target of E coli invasion. Once the bacteria are trapped with D-Mannose, then they are eliminated by normal urination which possibly prevent bladder infection. The latest literature shows 2 – 3 gram of daily D-Mannose is recommended.
- Intravaginal Lactobacillus – Enrich Normal flora at the vagina is able to prevent E coli invasion to the bladder. Intravaginal supplement significantly reduces bladder infection rate in premenopausal women. The recommended regimen is once daily for 5 days then followed by once weekly for 10 weeks.
- Methanamine Salts – US FDA has approved Methanamine salts for recurrent urinary tract infection prophylaxis in whom ages 6 years old or older. When Methanamine salts are in the urine, it turns into formaldehyde which has bacteriostatic effect. Most literatures show significantly reduction in bacteria persistence in the urine. The regimens are varied from 500 mg twice a day to 1 gram four times a day with unclear duration.
- Vaccinations shot – There are several vaccinations currently in the clinical trials with various routes of administration such as oral form and vaginal suppository. From the data I have reviewed, it seems promising in term in prevent bladder infection prophylaxis.
I think these information might be a values and will be some light shedding in the dark cave for patients whom suffered with a chronic bladder infection. And please don’t forget the principle that we shouldn’t use unnecessary antibiotics because you will be at risk of a drug-resistant infection in the future.
Any questions, you can feel free to discuss with me.
Testimonials
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Thank You. I’ve been fortunate over my long life in that I have had to make very few visits to the hospital, but I do remember well the regular trips to my local pediatrician as a boy in the suburbs of New York, and I was reminded of them during my visit to Dr. Soarawee. Yes, he is a top-tier world-class urologist, among many other things including being one of the few physicians, certainly in this part of the world, trained in the use of the Da Vinci Robotic Assisted Surgery system. But it was his generosity in taking the time to sit down with me and answer all my questions both before and after my procedure, his ‘family-doctor’ style bedside manner when he came up to my room to see how I was feeling, all of these human touches from a very busy guy who was constantly flying around the region, that impressed me most. Dr. Soarawee also treated my condition successfully, and I awoke after a few hours to find all of the unpleasant symptoms gone. I can’t thank him enough for his skill, and his compassion.
I highly recommend Dr. Pommy, who is a Specialist, in a league of his own.He has given my wife a second lease on life. He is thorough with his investigation and takes the time to explain the prognosis in layman terms. My wife cannot express enough in words of how Blessed she has been to have found this rare gem of a Specialist! Thank you for taking care of my wife.
Plastic surgeon
皆さま、こんにちは。泌尿器科専門医のSoarawee先生をご紹介します。 私はプノンペンのサンインターナショナルクリニックの常勤医として、多くの日本人の診療に携わっております。そして、泌尿器科の専門医に診察を依頼したい症例に遭遇することが度々あります。そのような時は、ロイヤルプノンペン病院の泌尿器科医師Soarawee先生に依頼するようにしています。理由は、私自身が以前に患者としてSoarawee先生のお世話になったからです。診察は丁寧かつ、分かりやすい英語で十分に説明していただき、安心することができました。Soarawee先生は、最新の専門知識・技術の習得にも熱心で、同じ医師として、とても信頼できると感じました。 また何かあれば、ご相談したいと思っています。カンボジアの医療に貢献してくださる、意欲的な先生だと思います。
Golf Coach
我的见證 2019年9月 我在金边 A医院(越南系) 健康檢查 发現尿道結石 14mm 因为從不疼痛 所以未查觉 医院只能作 由輸尿管 插入导管的手術 11月我到B医院(中国系) 再檢查 確定14mm 結石 此医院只能作传统开刀手術 开始上网收集研究尿道結石 結論 1 要选择第四代 無痛体外震碎机 2 要指定很有经验的医生 曾考虑到 新加坡 曼谷 台北 手术 因为要 回診 复診 追踪 需要多次往返 若有預外状况 处理不及时 相当困擾 !后来 我看到 皇家金边医院网站 很高兴他们有 最新的第四代体外震碎机 Soarawee 医生 在台湾長庚医院陪訓 完全符合我的兩大要求 決定在 金边皇家医院 並指定 Dr.Soarawee 进行手术 震碎手术時 完全無疼痛 一个月后 复檢 完全成功 誠心建议 检查有結石 赶紧作无痛体外震碎 不要等发作 我親见朋友 痛到地上 打滾 聽妇女說 比生小孩 还痛 祝 读者 平安健康 ! 叶文和 高尔夫球教练
I had the opportunity to shadow this amazing, compassionate, and inspiring doctor for a day and I can attest not only to his commitment and dedication to his patients, but also to his passion for medicine. I highly recommend him for all things related to urology.
Textiles brand’s Regional Director
Very prompt, positive and professional.Speedy response to my initial enquiry with simple and decisive advice offered. The doctor was also extremely friendly and helpful which was reassuring even via an online consultation. Would highly recommend to anyone.
Polite and kindly answer all my questions, I’m glad to have found him. I ask him lots and lots of questions and he politely answer it all. Some doctor will find you annoying since i ask like alot of questions. And also, he had given lots and lots of good advice.
If there is a 10 stars, i would rate hime 10 stars.
Men’s health. Dr Pommy have made lots of effort in rising awareness for male good Urology practice. He is willing to share information and very professional in answering questions. He is the Thai whom respect a lot!
I have seen many Urologist in the past for my problem but I am satisfied the way Dr. Soarawee Weerasopone is handling my case. He has very good diagnostic skills and explain the condition to his patients in a detailed manner. I will strongly recommend him. Thanks!
Thank You for your advice, I have received fantastic and professional online advice for the diagnosis, treatment and future monitoring of my condition. Thank You very much! I’m sure that your international expertise is of great value to the local community.
Dr Pommy’s profession is second to none, his personality is another extra bonus, polite and down to earth, my oldies is very happy with the result that came, Dr Pommy help him through with the treatments and gave all the best of the best advice he could gives. We couldn’t be much happier with him and thank you for his services. He is very much recommended.
I visited Dr. Pommy today. He treated me very well. I think that Dr. Pommy is the excellent professional and #1 urology doctor in Phnom Penh.
Professional doctor. Reply fast and responsible.
Fantastic! Really amazing support and understanding
Dr. Weerasopone is professional and knowledgeable. He assists his patients with getting through their diagnostic process smoothly and easily. The end result is a diagnosis that is thoroughly explained, a treatment that is successful and a patient who has peace of mind. I would highly recommend Dr. Weerasopone for anyone looking for a reassuring experience.
Thank You for your great advice, I have received fantastic and professional online advice for the diagnosis, treatment and future monitoring of my condition. He is very patient oriented, and is willing to answer any follow-up questions with further explanation. Thank You very much!
I was in excruciating pain when I went to see Dr. Pommy, the Chief Urology Department, Royal Phnom Penh hospital in Cambodia at about 9:00 AM. He surprised me by telling me that I could be treated in the afternoon. After being hit with 7,000 shock waves, NO MORE kidney stone, and no more pain. At the same time, my creatinine levels returned to normal after the treatment that day. It was like killing two birds with one stone. I highly recommend lithotripsy treatment for kidney stones. The treatment was virtually painless and I had relief almost instantly. Dr. Pommy was very kind and professional in handling my health issues.
My husband had the most pleasant, great treatment in the hands of Dr. Soarawee Weerasopone. He treated and help in the most graceful way my husband’s illness. In times of pain and doubts about what to do in an emergency we were very please to find someone that could not only explain every step of the treatment as well with great disposition answered any questions and make my husband feel relaxed and confident that everything was going to be fine. And it did. So THANK YOU SO MUCH. And may God always keep your way to treat your patients the way you humanly treat my husband. God bless you Dr. Weerasopone.
I am quite pleased to be able to know and meet Dr Soarawee Weerasopone. He is quite professional in the way he shared his analysis and tries to understand the person he talks to, like me. I feel I had the final conclusion from his detailed explanation, I am really grateful for his support and his prompt reply when I approached him online. Speaking to a doctor in a good friendship way, not easy to find someone like him. Feeling blessed to know him. 🙏😊
I had problems with urine incontinence (active bladder) my life was a mess; I couldn’t sleep for 3 weeks, because every night as I lay down I get the urged but as soon I go the the toilet… Small stream and nothing. This was 8 – 10 times a night which effecting my overall health and well being, my quality of life went down hills. I found Dr Soarawee Weerasopone on the Google search. Chat with the doctor he patiently listen to my problems and give an answer. He ask me to come in for testing. 3 weeks later my symptom or ailments are gone.
I would highly recommend Dr. Soarawee… If you are having issues dealing with urine incontinence; he will seat down and actually listen to you, and he has a great great personality.
A very good and kind doctor. It is hard to find this kind of doctor that will answer right away your question through online platforms without any charges or whatsoever. Provide recommendation and prevention of any health related problems to his speciality.
Dr. Soarawee, he is a kind hearted doctor who provided me good online consulting. I do thank for his professional and patient to advise me. I support and like the way you help people with your positive manner, Dr. I wish you healthy and happy in your life and your profession.
He is willing to do free consultations for those who are in need. I felt really comforted after he did a short consultation.
Dr. Pommy is great!, On a recent routine check-up, I discovered a kidney stone and cyst on my kidney. I was advised to see Dr. Pommy for a follow-up, and i’m glad that I did as he is the premier urologist in my area (Cambodia). If you simply Google his name, his experience and credentials are the first things you encounter. Dr. Pommy is accessible and answered my questions in a well-thought and knowledgeable manner. He assured me that my new discoveries (stone and cyst) were nothing to worry about with a relatable explanation that broke down the science/results. He is very patient oriented, and is willing to answer any follow-up questions with further explanation. If you are in Asia (Thailand, Cambodia, Vietnam), and in need of an expert opinion or consultation, Dr. Pommy is a great person to speak with.
I really Love Dr. so much I really appreciate his kind hearted. He is the he best kind and helpful Dr. ever I ever see. He help curing my grandpa’s illness with all his kind heart. He is our family alive god 🙏🙏🙏
I wish to share my recent very pleasant experience consulting with Dr Pommy, Urologist (Soarawee Weerasopone, MD Thai Urologist). I was extremely pleased to find a physician with his specialized training and prompt very professional communication. Dr. Pommy handled my particular medical needs in a caring and systematic fashion and provided me great confidence in his skill set. I have thirty years experience working in the medical field and am a professor from the USA. I will definitely send friends and family to this physician and return for my own future healthcare needs.
Dr Soarawee he so awesome best doctor you ever met. He so polite and he help me and give the advice and recommend all the best he can with the treatment and everything before take the next step. Really love and much appreciate. Very thankful for his help. Very recommended. Thank you Dr
Best urologist in Southeast Asia.
Best support and advice via line.
Thank you so much for help me many time.
Selbst wenn du aus Deutschland kommst ist Dr Pommy die beste Wahl.
Dieser Doktor hilft dir in allen Männer Problemen.
Danke nochmal lieber Doktor Pommy.
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