Diagnosis


To find out whether you have a UTI your doctor will test a sample of urine
for pus and bacteria. You will be asked to give a "clean catch" urine sample by washing the genital area and
collecting a "midstream" sample of urine in a sterile (This method of collecting urine helps prevent
bacteria around the genital area from getting into the sample and confusing the test results.) Usually,
the sample is sent to a laboratory, although some doctors' offices are equipped to do the testing.

In the urinalysis test, the urine is examined for white and red blood cells and
bacteria. The bacteria are grown in a culture and tested against different antibiotics
to see which drug best destroys the bacteria. This last step is called a sensitivity test.

Some microbes, like Chlamydia and Mycoplasma, and only be detected with
special bacterial cultures. A doctor suspects one of these infections when a
person has symptoms of a UTI and pus in the urine, but a standard culture fails
to grow any bacteria.

When an infection does not clear up with treatment and is traced to the same
strain of bacteria, the doctor will order a test that makes images of the urinary
tract. One of these tests is an intravenous pyelogram (IVP), which gives x-ray
images of the bladder, kidneys, and ureters. An opaque dye visible on x-ray film
is injected into a vein, ad a series of x-rays are taken. The film shows an outline
of the urinary tract, revealing even small changes in the structure of the tract.

If you have recurrent infections, your doctor also may recommend an ultrasound
exam, which gives pictures from the echo patterns of soundwaves bounced back
from internal organs. Another useful test is cystoscopy. A cystoscope is an
instrument made of a hollow tube with several lenses and a light source, which
allows the doctor to see inside the bladder from the urethra.
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