First-time UTI with Hematuria in Young Adult Female

Case at a Glance

A 30-year-old female presenting with acute onset urinary symptoms including dysuria, hematuria, and urinary frequency with no prior history of urinary tract infections.

Patient's Story

The patient reported waking up in the morning and noticing her urethral opening appeared swollen or protruding during routine hygiene. Shortly after this observation, she developed a burning sensation during urination. Over the course of several hours, her symptoms progressed to include visible blood in her urine. She described experiencing frequent urination with small volumes, accompanied by persistent dysuria and gross hematuria. The patient expressed significant anxiety as this was her first experience with such symptoms.

Initial Assessment

Primary symptoms included: acute dysuria, gross hematuria, urinary frequency with decreased volume per void, and apparent urethral inflammation or swelling. The patient denied systemic symptoms such as fever, flank pain, or constitutional symptoms. No previous history of urinary tract infections was reported.

The Diagnostic Journey

Given the classic triad of dysuria, frequency, and hematuria in a young female patient, the presentation was highly suggestive of an acute urinary tract infection. The acute onset and constellation of symptoms warranted prompt evaluation and urinalysis to confirm the diagnosis.

Final Diagnosis

Acute uncomplicated urinary tract infection (UTI) with associated urethritis

Treatment Plan

Standard antibiotic therapy appropriate for uncomplicated UTI in a young female patient, increased fluid intake, and symptomatic management of dysuria. Patient education regarding UTI prevention and when to seek follow-up care.

Outcome and Follow-up

Patient advised to monitor symptom resolution with treatment and return if symptoms persist or worsen. Follow-up recommended if recurrent episodes occur to evaluate for underlying predisposing factors.