I was the opposite to Don. Very few UTIs through 5 years of ISC. Had an SPC installed, had 3 nasty UTIs, never seemed free of them. After 6 months of the SPC I saw the urologist, she offered to remove the SPC. I said ‘yes please’, she whipped it out. After I’d got rid of the last UTI, I haven’t had another one and I’ve been back doing ISC for the last 13 months.
I’ve tried all the things like cranberry juice and D-Mannose, but since I don’t get UTIs anyway, it really seemed like a waste of money.
What I do is keep very clean, try to avoid using public loos, but carry hand gel with me, so after I’ve sat on the loo, use antibacterial gel. When I’m out I don’t use wipes anymore before catheterisation, I just go straight in with the catheter. When I’m at home, I use Huggies (pure) wipes everytime. At home I use Lofric catheters. But out of the house, I use Speedicath because they are less flexible, so it’s easier to get the right spot everytime. (So I’ve overordered on one type of catheter, then kept some back and swapped to the other kind, just so I always have both types available.)
I am a little bit OCD about bathroom cleaning. And handwashing. And towel washing. So I know that my loo is clean and I’m not likely to be getting germs from the home loo and am very careful when outside. I’m lucky in that there are only two of us living here, so it’s not difficult to keep the bathroom fairly clean. (Even though my OH is a man and incapable of cleaning the bathroom! I do know that some men are very good at bathroom cleaning, but mine is not!)
I’m fairly certain that some people are just more prone to UTIs than others. For example, my mother keeps her bathroom about as clean as I do mine, but she’s plagued by UTIs. So it’s not necessarily anything you are or aren’t doing.