We Understand UTIs

We have the knowledge, tools and team to diagnose and treat chronic Urinary Tract Infections (UTIs). We provide people around the world with chronic UTI diagnosis and treatment using in person care, virtual care and global collaboration.

Why Partner With Us

We provide rapid access to specialized UTI care supported by an internationally recognized physician-scientist and a multidisciplinary team.

How we support your patients:

Biofilms that require advanced testing and interpretation:
Some infections are caused by biofilms — groups of bacteria that can hide from standard tests and resist treatment. We use specialized tools and clinical expertise to detect these cases and guide appropriate care.

Considering newer treatment options like vaccines, prebiotics, and phage therapy:
When antibiotics aren’t enough, we may explore alternative or complementary therapies, including targeted prebiotics, phage therapy, or vaccines, depending on the unique needs and treatment history.

When needed, we also consider advanced prevention strategies:
For patients at risk of serious or ongoing infections, we may recommend in-clinic options like bladder instillations or antiseptic treatments to help reduce the risk of systemic or recurring infections.

Finding the right antibiotics, and using them the right way:
We help identify the most effective antibiotic options, then provide guidance on how long to take them, at what strength, and how to pair them with other treatments for the best results.

Restoring your natural defenses:
In some cases, we may recommend supportive options like probiotics or low-dose vaginal estrogen to help rebuild the body’s natural barrier and lower the risk of future infections.

Referrals

Fax: +1 289 217 0920

Referrals welcome for any patients any where in the world but required for Canadian insured patients.

Please address referrals to Dr Gregory German MD PhD FRCPC DTM&H Medical Microbiologist and Medical Director.

If available please also include the most recent results from:

  • urine culture

  • relevant imaging

  • cystoscopy

Specialist Service We Provide

Unique approach to diagnostics

  • Low count urine cultures with extended susceptibilities

  • Vaginal swabs for lactobacillus

  • Prostate/semen cultures

  • Mycoplasma/ureaplasma

  • Mycobacteria culture

  • Novel testing interpretation (e.g. MicroGenDx/CirrusDx)

  • Bacteriophage susceptibility analysis

  • Advanced diagnostic Imaging

  • Referrals to other specialists

  • Penicillin allergy oral challenge or referral

Innovative approach to therapies

  • Vaginal estrogen (low dose)

  • Vaginal pre- and pro-biotics

  • Oral antibiotics, antiseptic and probiotics

  • IV antibiotics

  • Instilled (bladder) antibiotics with nurse practitioner education

  • Pelvic health physiotherapy

  • Occupational health

  • Social work

  • Registered dietitian

  • Physician assistant services

  • Vaccines (UTI and otherwise)

  • Phage therapy research and coordination