SchoorUrology: Urology, Male Infertility & Men's Health

Combining knowledge, expertise and technology to produce superior clinical outcomes

Urinary Tract Infection Center of Excellence


Do you get UTIs?

Urinary tract infections are not just common, but commonly misdiagnosed.

Why are some urine culture results not accurate?  In women and some men, the urine specimen can easily get contaminated with bacteria that are naturally present in the genital tract and this results in a falsely positive urine culture.   

Why is it important to make sure the urine culture results are accurate?

It is very important that patients are not exposed to side effects of medications, especially antibiotics, unless the benefits of treatment outweigh the risks. 

What are some of the risks of antibiotic therapy?

Antibiotics can cause diarrhea, yeast infections, rashes, and on rare occasion life-threatening allergic reactions.  Also, improper use of antibiotics leads to bacterial resistance and the emergence of very difficult to treat bacteria. 

What is the best way to give a urine specimen to prevent contamination? A good way is to do a clean catch mid-stream collection.

How are UTIs best diagnosed? The best way to diagnose a UTI is by an evaluation of the urine culture in relation to the urine analysis results and the patient’s clinical history.

Can you tell if a person has a UTI from a urine analysis (UA)? A UTI can be present in the face of negative UA and absent in the face of a positive UA.  Best practice guidelines call for evaluating the UA as part of the broader clinical picture. 

I feel fine, but my doctor told me I have a UTI.  What does this mean?  It means that the urine culture was positive but it does not mean you have a UTI.  This may reflect a contamination of the specimen.  More evaluation is needed.

What happens if my UTI goes un-treated?

While untreated UTIs can get worse & even cause kidney infections, it is very reasonable to confirm that the culture actually represents an infection prior to giving antibiotics.  In some cases, empiric treatment is warranted as well.   

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