HealthPathways Melbourne case study – Suspected acute cystitis

Bethany, 36, presents to her GP with a two-day history of incomplete bladder emptying, stinging on urination and increased urinary frequency.

For the past three weeks there has been some intermittent right flank tenderness, without any suggestion of fever, malaise, rigors or night sweats.

Bethany had assumed that this was the result of her restarting competitive tennis within the past six weeks.

When her urinary symptoms emerged, she wasted no time in making an appointment to see her GP. Her history included recurrent UTIs four to five years ago, which were triggered by intercourse.