Urology treats urinary tract diseases in all genders and male reproductive issues, covering the kidneys, bladder, prostate, urethra, from infections to complex cancers.
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For simple, uncomplicated cystitis, if symptoms resolve, re-testing the urine is not necessary. However, a follow-up culture 1-2 weeks post-treatment is mandatory for:
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It is recommended to abstain from intercourse until symptoms have completely resolved and the antibiotic course is finished (usually 5-7 days). Sex during an active infection is painful, can further traumatize the inflamed bladder lining, and may push more bacteria into the urethra, delaying healing.
This is called “Post-Infectious Irritability.” The bladder nerves remain sensitized, and the lining takes time to heal even after the bacteria are dead. If symptoms persist for>2 weeks despite negative cultures, we evaluate for other causes such as pelvic floor spasm, yeast infection, or Interstitial Cystitis.
It is a colloquial term for cystitis precipitated by sexual activity. It does not imply a new partner or poor hygiene. It is caused by the mechanical transfer of perineal bacteria into the urethra during friction. Post-coital voiding and sometimes a single prophylactic antibiotic pill are the cures.
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