Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • dysuria
  • urinary frequency
  • hematuria
  • back/flank pain
  • costovertebral angle tenderness
  • fever

Other diagnostic factors

  • urinary urgency
  • suprapubic pain and tenderness

Risk factors

  • sexual activity
  • spermicide use
  • postmenopause
  • positive FHx
  • history of recurrent UTI
  • presence of a foreign body
  • insulin-treated diabetes
  • high lifetime number of UTIs
  • recent antibiotics
  • poor bladder emptying
  • increasing age

Diagnostic investigations

1st investigations to order

  • urine dipstick
  • urine microscopy
  • urine culture and sensitivity
Full details

Investigations to consider

  • postvoid residual (PVR)
  • renal ultrasound
  • abdominal/pelvic CT scan
  • cystoscopy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Una J. Lee

Female Pelvic Medicine and Reconstructive Surgery

Section of Urology and Renal Transplantation

Virginia Mason Medical Center

Seattle

WA

Disclosures

UJL declares that she has no competing interests.

Dr Una J. Lee would like to gratefully acknowledge Elliot Blau for his contribution to this monograph, and Dr Bhavin N. Patel and Dr Howard B. Goldman, previous contributors to this monograph. EB, BNP, and HGB declare that they have no competing interests.

Peer reviewers VIEW ALL

Associate Staff

Cleveland Clinic Foundation

Cleveland

OH

Disclosures

PS declares that she has no competing interests.

Associate Residency Director

Texas Tech University Health Sciences Center

Amarillo

TX

Disclosures

TJB declares that he has no competing interests.

Professor of Primary Care Research

Community Clinical Sciences Division

University of Southampton

Southampton

UK

Disclosures

PL declares that he has no competing interests.

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