Medical History and Physical Exam for Urinary Tract Infections
If you have symptoms of a urinary tract infection (UTI), your
initial evaluation by your doctor will include a medical history and physical
exam. A medical history includes an evaluation of your current
urinary tract symptoms, history of
urinary tract infections or other urinary tract
problems, family health history, and sexual history. You and your doctor will
discuss your general health and the results of previous testing.
For women, your doctor will:
- Evaluate the possibility of pregnancy and any
history of reproductive problems.
- Include a pelvic exam if symptoms
indicate a possible pelvic infection or
- Examine your lower back,
abdomen, and the area just above where the pelvic bone and the lower abdomen
meet for tenderness, pain, or abnormalities.
- Take your
For men, your doctor will:
- Evaluate any history of prostate
- Examine your genitals, lower back, and
- Examine your rectum and rectal area to check for
prostate enlargement, growths, or
- Take your temperature.
Why It Is Done
You have symptoms of a UTI.
Findings of the medical history and physical exam include the
- No pain, growths, or
- No prostate enlargement or tenderness (men only)
- No discharge from the
- Pain or discomfort in response to pressure on
the lower back, abdomen, or the area above the pelvic bone
or abnormalities detected during pelvic or rectal exam
- Enlarged or
tender prostate gland (men only)
- Discharge from the urethra
What To Think About
A thorough medical history and physical exam can often help rule
out other possible causes of your symptoms, such as a
vaginal yeast infection,
sexually transmitted infection, or
prostatitis. Provide your doctor with as accurate a
medical and sexual history as you can.
Complete the medical test information form (PDF) (What is a PDF document?) to help you prepare for this test.
E. Gregory Thompson, MD - Internal Medicine
Avery L. Seifert, MD - Urology
May 16, 2011