Abstract
AS many as a quarter of adult women may experience an episode of acute dysuria each year.1 Dysuria is one of the most common clinical problems seen by clinicians in the developed Western nations,2 3 4 accounting for over 3 million office visits per year in the United States.4 Recent studies suggest that we need to alter traditional approaches to the care of women who have the acute onset of dysuria but do not have symptoms or signs suggesting acute pyelonephritis. The conventional view has held that (1) such patients have bacterial cystitis, (2) the responsible microorganisms are almost always the gram-negative . . .
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