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Urinary tract infection (UTI) – Foundation Surgery
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Urinary tract infection (UTI)

Urinary tract infection (UTI)

Form summary

When did your urine problem start?
Have you had 3 or more urine infections in the last month?
Have you had 2 or more urine infections in the last 6 months?
Do you have a urinary catheter?
Are you pregnant?
Are you allergic to any antibiotics?
For example, trimethoprim, nitrofurantoin
Have you had sex with a new partner in the last 6 months?
Have you had any of the following symptoms?
Select all options that are relevant to you
Have you tried anything already to help with your symptoms?
For example, painkillers, antibiotics, drinking more fluids
Terms and conditions *