Urethral syndrome

The urethral syndrome (sometimes termed abacterial cystitis) is that where the patient presents with dysuria and frequency but does not show a positive urine culture. 3

• 30-40% of adult women with urinary symptoms have this syndrome. 3

• Many actually have bacterial cystitis but a negative culture.

• The organisms may be anaerobic or fastidious in their culture requirements.

• The organisms may include Ureaplasma, Chlamydia and viruses.

• The urine may have antiseptic contamination or residual antibiotic.

• The infection may be undergoing spontaneous resolution at the time of the culture.

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