A UTI: It is true that in women older than 60 years, having a history of smoking, and having gross hematuria are the strongest predictors of urologic cancer. However, the most likely cause of your symptoms is a UTI (if there are no vaginal sx) . Culture negative or not, the recommendation is to treat empirically according to standard clinical guidelines for UTI. Culture negative UTIs are common in women.
Answered 1/13/2019
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