Cystitis diagnostic study of choice

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Acute uncomplicated typical cystitis is mainly diagnosed based on clinical presentation. Patients with classic symptoms including dysuria, frequency, urgency, and/or suprapubic pain may not need any diagnostic studies. Patients with atypical symptoms might require urinalysis and urine culture to confirm cystitis.

Diagnostic Study of Choice

• Acute uncomplicated typical cystitis is mainly diagnosed based on clinical presentation. Patients with classic symptoms including dysuria, frequency, urgency, and/or suprapubic pain may not need any diagnostic studies.
• Patients with atypical symptoms might require urinalysis and urine culture to confirm cystitis.

Urinalysis

• Presence of nitrites or leukocyte esterase on dipstick or presence of WBCs of bacteria on microscopic examination suggests the presence of a urinary tract infection.

Urine Culture

• Urine culture is done to identify the particular pathogen, so that the specific treatment can be given.