Imaging, like ultrasound or MRI, and sometimes a biopsy, can provide a definitive diagnosis
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Some providers recommend methenamine hippurate as a non-antibiotic prophylactic option for patients who want to avoid long-term antibiotic use

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This creates a two-tier system where only patients with diabetes or cardiovascular comorbidities access these medications through traditional channels
But its easy to become overwhelmed by the issues that may occur, even if theyre unlikely to affect you