Externally Peer Reviewed by Mosby Acute Cystitis Signs and symptoms. Dysuria, frequency, nocturia, enuresis, incontinence, urethral pain, suprapubic pain, low back pain, hematuria.
Significant fever is unusual.
Positive leukocyte esterase, or pyuria. However, a patient may have typical UTI symptoms and a false-negative urinalysis and still have a bacterial cystitis. 2 organisms per HPF by microscopy. Positive dipstick result for nitrates. May have gross or microscopic hematuria.