Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • dysuria
  • urgency
  • frequency
  • suprapubic pain
  • costovertebral angle pain

Other diagnostic factors

  • hesitancy
  • nocturia
  • enlarged prostate
  • tender prostate
  • rectal/perineal pain
  • fever/rigors
  • urethral discharge

Risk factors

  • benign prostatic hypertrophy
  • urinary tract stones
  • urologic surgery, instrumentation
  • urethral strictures
  • age >50
  • previous UTI
  • catheterization
  • anal sex
  • vaginal sex
  • recent hospitalization
  • uncircumcised

Diagnostic investigations

1st investigations to order

  • dipstick urinalysis
  • urine microscopy
  • urine culture
  • Gram stain
Full details

Investigations to consider

  • CT renal tract
  • KUB
  • ultrasound
  • intravenous urogram (IVU)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Timothy J. Benton

Regional Chairman

Residency Program Director

Associate Professor

Department of Family and Community Medicine

Texas Tech University Health Sciences Center

Permian Basin Campus

Odessa

TX

Disclosures

TJB declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor of Family Medicine and Chairman of the Department of Family Medicine

University of Texas Health Sciences Center

Tyler

TX

Disclosures

RV declares that he has no competing interests.

Professor of Urology

Institute of Cellular Medicine

Newcastle University

Newcastle upon Tyne

UK

Disclosures

RP declares that he has no competing interests.

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