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New Recurrent UTI Study Opening in March 2025

TEMC Protocol for Chronic UTI’s 
Principle Investigator: Kia Michel MD
Location: Comprehensive Urology, Beverly Hills, Los Angeles
8631 W. 3rd St., Suite# 1115E, Los Angeles CA 90048
Duration: 3 months
 

What is TEMC for Recurrent UTI’s?

Kia Michel, MD is studying a novel combination therapy for patients that suffer from recurrent UTI’s, also called chronic urinary tract infections, called TEMC. TEMC Stands for (Thermiva-Estrogen-Methenamine-Colloidal Vit C in oral suspension).
  • ThermiVa: This is a small device that uses radiofrequency waves to gently heat the vaginal tissues. Previous studies have found that ThermiVa stimulates collagen production which strengthens and tightens the vaginal walls and encourages new blood vessel growth.
  • Estrogen Therapy: increases clear secretion of vaginal fluids to protect vaginal tissues from infections. It also resolves vaginal dryness and is an important part of maintaining a healthy vulva and urethra.
  • Methenamine: An FDA approved anti-infection medication that is used to prevent recurrent UTI’s.
  • Colloidal Vit C:  Vitamin C in oral suspension helps maintain the health of blood vessels and the immune system. It can also help wounds heal faster and protect cells as an antioxidant.
 

Theory: Recurrent UTI’s can be prevented by re-establishing the integrity of the lower urinary tract and bolstering the immune system.

  • Anti-infection
  • Anti-inflammatory
  • Anti-Aging: Stimulation of Collagen Production and Angiogenesis (new blood vessel growth) 
  •  

Study Steps for TEMC

 

1. Assessment

-You will have your first consultation with physical examination
-Hormone Panel 
-Urinalysis/Urine Culture (PCR)
-Ultrasound
 

2. Treatment Plan (3 month period)

-Methenamine Prescription
-Vaginal Mucosal support Treatments
    •  2 ThermiVa treatments over a 3 Month Period
  • 3 Month course of Vaginal Hormonal support based on hormonal panel results
-Colloidal Vitamin C – 2x/day (oral suspension)
-Increased Liquid Intake (soups, teas, Vitamin C rich beverages added to your existing diet plan)

3. Follow-up Assessment to Report Results

-3 month Follow-up appointment
-Repeat Hormone Panel 
-Repeat Urinalysis/Urine Culture (PCR)
It’s possible to continue the protocol beyond 3 months if recommended by Dr. Michel.

For more information, including insurance coverage questions, please request an appointment here: Request an Appointment – Comprehensive Urology
 
Kia Michel, MD

Kia Michel, MD

Written by Dr. Kia Michel, a board certified urologist, surgeon, and founding member of Comprehensive Urology in Beverly Hills, Los Angeles. Dr. Michel's expertise includes focal therapy (HIFU/TULSA), prostate cancer treatment, robotic surgery, and male enhancement treatments such as Shockwave Therapy for ED and penile injections.

Dr. Michel's Bio