Cystitis: Diagnosis

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Cystitis: Diagnosis
Cystitis: Diagnosis
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Video: Cystitis – Infectious Diseases | Lecturio 2023, February
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Cystitis: diagnosis

The anamnesis by the doctor is at the center of the diagnosis of a urinary tract infection. In the conversation it is determined whether and which typical complaints exist. On the basis of this, the infection can often be assigned to a likely uncomplicated or complicated course. Further diagnostic steps may also be required.

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  • Symptoms in the focus of diagnosis
  • Urinalysis
  • Other diagnostic procedures
  • Whom can I ask?
  • How are the costs going to be covered?

Symptoms in the focus of diagnosis

If the symptoms are typical of an uncomplicated urinary tract infection and a complicated course and inflammation of the renal pelvis can be ruled out, appropriate therapy is initiated after the urine test. Urine test strips are very often used for diagnosis, but they can also give false negative or false positive results.

Urinalysis

A detailed examination of the urine with pathogen identification including the determination of the bacterial count may be necessary in the following cases, for example:

  • Suspicion of a complicated course,
  • recurring infections,
  • sometimes also when a UTI occurs for the first time.

Possible urine diagnostic methods are, for example, microbiological examinations with immersion culture medium or urine culture as well as microscopic methods. A special procedure is common for urinary tract infections during pregnancy: After antibiotic treatment, the urine is usually re-examined to check whether all pathogens have been killed. The presence of a urinary stasis kidney (hydronephrosis) is also clarified.

Note The midstream urine should be used for a urine sample, ie the first initial stream is not collected in the sample cup.

Other diagnostic procedures

Other possible diagnostic options include:

  • Ultrasound of the kidneys and urinary tract (sonography),
  • Urethral cystoscopy (urethrocystoscopy): in rare cases and only in the case of repeated urinary tract infections,
  • X-ray examination of the urinary tract: among other things, if a complicated urinary tract infection is suspected.

In women who suffer from vaginal itching or discharge, other diseases such as candida infections should be clarified and a pelvic examination should be considered.

Whom can I ask?

If you suspect you have a urinary tract infection, you can contact the following for a clarification:

  • General practitioner
  • Specialist in urology
  • Specialist in gynecology

How are the costs going to be covered?

The costs of a medical examination for a urinary tract infection are usually covered by the health insurance providers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. With certain health insurance providers, however, you may have to pay a deductible (BVAEB, SVS, SVS, BVAEB).

However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic.

For more information, see Costs and Deductibles.

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