Exam Overview

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
  • Growths
    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.


ByHealthwise Staff
Primary Medical Reviewer E. Gregory Thompson, MD – Internal Medicine
Adam Husney, MD – Family Medicine
Specialist Medical Reviewer Avery L. Seifert, MD – Urology

Current as ofMay 5, 2017