18 doctors weighed in:
How do doctors diagnose utis?
18 doctors weighed in

Dr. George Klauber
Pediatrics - Urology
5 doctors agree
In brief: Symptoms & Urine
Dr. First suspects UTI from symptoms: burning with urination, frequency of urination, pelvic & suprapubic pain, cloudy foul smelling urine, blood in urine, constipation etc.
. Then performs a urinalysis, bacteruria & white blood cells show on urine test strip. Bacteria can be seen under a microscope on spun urine (now seldom done in dr.S offices). Finally grow or send a urine culture..

In brief: Symptoms & Urine
Dr. First suspects UTI from symptoms: burning with urination, frequency of urination, pelvic & suprapubic pain, cloudy foul smelling urine, blood in urine, constipation etc.
. Then performs a urinalysis, bacteruria & white blood cells show on urine test strip. Bacteria can be seen under a microscope on spun urine (now seldom done in dr.S offices). Finally grow or send a urine culture..
Dr. George Klauber
Dr. George Klauber
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Dr. Roy Benaroch
Pediatrics
5 doctors agree
In brief: Urine tests
The definite answer is from a test called a "urine culture", which allows bacteria (if present) to grow in an incubator. Since that takes a few days, we also rely on a quick "urinalysis" to give hints about whether a UTI is likely or not.

In brief: Urine tests
The definite answer is from a test called a "urine culture", which allows bacteria (if present) to grow in an incubator. Since that takes a few days, we also rely on a quick "urinalysis" to give hints about whether a UTI is likely or not.
Dr. Roy Benaroch
Dr. Roy Benaroch
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Dr. Danny Farahmandian
Internal Medicine - Nephrology & Dialysis
3 doctors agree
In brief: Urine tests
A urinalysis to start but culture is the standard.

In brief: Urine tests
A urinalysis to start but culture is the standard.
Dr. Danny Farahmandian
Dr. Danny Farahmandian
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1 comment
Dr. George Klauber
Urinalysis needs to be performed if UTI is suspected. In most cases urinalysis will by positive for leauocyte esterase (demonstrating white blood/pus cells & by nitrite positive rection demonstrating presence of the most common (but not all( bacteria responsible for UTIs) Culture will identify the species of bacteria & antibiotics to which the bacteria might be sensitive.
1 doctor agrees
In brief: Lab tests
History and physical examination are useful.
Urinalysis and urine culture are more precise.

In brief: Lab tests
History and physical examination are useful.
Urinalysis and urine culture are more precise.
Dr. Yale Shulman
Dr. Yale Shulman
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1 comment
Dr. George Klauber
and required
1 doctor agrees
In brief: Urinalysis, culture
Urinary tract infections (utis) may cause a variety of symptoms in men or women (urinary burning, frequency for example).
Utis are diagnosed by two tests: urinalysis and urine culture. Urinalysis (to see properties of urine including ph, blood, sugar, and inflammation/infection) and urine culture (to check for specific bacteria or fungal infection) and sensitivity to antibiotics.

In brief: Urinalysis, culture
Urinary tract infections (utis) may cause a variety of symptoms in men or women (urinary burning, frequency for example).
Utis are diagnosed by two tests: urinalysis and urine culture. Urinalysis (to see properties of urine including ph, blood, sugar, and inflammation/infection) and urine culture (to check for specific bacteria or fungal infection) and sensitivity to antibiotics.
Dr. Matthew Wosnitzer
Dr. Matthew Wosnitzer
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Dr. Charles Glassman
Internal Medicine
1 doctor agrees
In brief: UTIs
By symptoms and then urine culture to confirm.

In brief: UTIs
By symptoms and then urine culture to confirm.
Dr. Charles Glassman
Dr. Charles Glassman
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Dr. Julia Stanford
Internal Medicine & Pediatrics
1 doctor agrees
In brief: Urine culture
Urinary tract infections are diagnosed by obtaining a culture of the urine.
Sometimes a physician can do a quick urinalysis in the office but the most accurate test is the culture which usually takes 2-3 days. If a physician suspects a uti, they will often start treatment while waiting on the results of the urine culture.

In brief: Urine culture
Urinary tract infections are diagnosed by obtaining a culture of the urine.
Sometimes a physician can do a quick urinalysis in the office but the most accurate test is the culture which usually takes 2-3 days. If a physician suspects a uti, they will often start treatment while waiting on the results of the urine culture.
Dr. Julia Stanford
Dr. Julia Stanford
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Dr. Dennis Higginbotham
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