Last reviewed: June 2018
Last updated: March  2018

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • dysuria
  • urgency
  • frequency
  • suprapubic pain
  • prior history of urinary tract infections (UTIs) and treatment history

Other diagnostic factors

  • recent urinary tract instrumentation
  • flank pain
  • abdominal pain
  • fever
  • vaginal discharge
  • vaginal pruritus
  • dyspareunia
  • structurally or functionally abnormal bladder

Risk factors

  • frequent sexual intercourse
  • history of UTI
  • congenital abnormality
  • spermicidal jelly
  • urinary catheter
  • asymptomatic bacteriuria (ABU)
  • diabetes
  • spinal cord injuries
  • pregnancy
  • immunodeficiency
  • older age
  • lack of circumcision
  • age <15 years for first UTI
  • new sex partner in past year
  • UTI history in mother
  • diaphragm use
  • increasing parity
  • obesity
  • vaginal atrophy

Diagnostic investigations

1st investigations to order

  • urinalysis
  • urine microscopy
  • urine culture with sensitivity
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Honorary Senior Lecturer of Urology

University of Sheffield

Consultant Urological Surgeon

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

Disclosures

CC has received a grant from Astellas for a scientific study/trial (Researcher/Author), and has carried out work with Astellas as a meeting participant/lecturer and as a Consultant/Advisor. He has worked with Boston Scientific and GSK as a Consultant/Advisor. He has worked with Pfizer as a meeting participant/lecturer.

Consultant Urologist

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

Disclosures

AM declares that he has no competing interests.

Dr Christopher Chapple and Dr Altaf Mangera would like to gratefully acknowledge Dr Michael K. Park, a previous contributor to this monograph. MKP declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor of Medicine

Department of Clinical Physiology

Division of Medicine

Whittington Campus

University College London Medical School

London

UK

Disclosures

JML declares that he has no competing interests.

Chair

Department of Obstetrics and Gynecology

Virginia Commonwealth University

Richmond

VA

Disclosures

DC declares that he has no competing interests.

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