Acute Uncomplicated Cystitis in Young Women
Those most at risk for UTIs are sexually active young women. Their propensity to develop UTIs has been explained on the basis of anatomy (especially a short urethra) and certain behavioral factors, including delays in micturition, sexual activity, and the use of diaphragms and spermicides (both of which promote colonization of the periurethral area with coliform bacteria). Fortunately, most UTIs in this population are uncomplicated and are rarely associated with functional or anatomic abnormalities.
In studies of women presenting with dysuria and increased frequency of urination, intravenous pyelography and ultrasonography have demonstrated low rates (less than 1 percent) of surgically correctable anatomic abnormalities of the urinary tract. Therefore, aggressive diagnostic work-ups are unwarranted in young women presenting with an uncomplicated episode of cystitis.
UTI is common in sexually active young women
Aggressive work up is unwarranted