Introduction: Recurrent urinary tract infections are defined as the occurrence of at least three infections per year or at least two in the last six months, confirmed by urine culture. Due to their sudden and painful course and frequent recurrence, they represent a psychological, clinical and socio-economic burden. Antibiotics are the first-line treatment, but due to numerous adverse effects and the risk of developing antibiotic resistance, an increasing number of studies are focusing on non-pharmacological alternatives. Purpose: To explore non-pharmacological approaches to the prevention of recurrent urinary tract infections in women and to define the role of nurses in the use of these approaches, health education and the comprehensive care of women with recurrent urinary tract infections. Methods: We used a descriptive method and reviewed professional and scientific literature in English, published within the last ten years. The search was conducted from April 2025 to July 2026 in the CINAHL Ultimate and Cochrane Library databases, the PubMed search engine, and through the reference lists of already identified literature. A total of 16 studies were included in the final review. Results: All of the non-pharmacological approaches reviewed proved safe to use, but their effectiveness could not be confirmed due to a lack of more recent, methodologically high-quality studies with larger sample sizes. Cranberries showed the most consistent protective effect, whereas the results of studies examining D-mannose were quite inconsistent. Probiotics also showed promising results, although our findings were based on a single study. Acupuncture proved to be an approach that could be effective with long-term use. Approaches such as increased fluid intake and appropriate hygiene and behavioural habits did not prove to be highly effective, but their use is nevertheless recommended in everyday life, as they are safe and simple to implement. Patient education improves patients' knowledge and behaviour, which positively affects the reduction of recurrences, and in practice it is also carried out by nurses. Discussion and conclusion: Which non-pharmacological approach is most appropriate depends on the individual characteristics and preferences of each woman. Adequate knowledge, among both healthcare professionals and patients, is essential for successful prevention of recurrences. Nurses play an important role in patient education, counselling and support, although their role in this area is addressed more indirectly in the literature, indicating a need for further research on this topic.
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