Acute Cystitis in a Transfeminine Patient: Assessment and Treatment of Urinary Tract Symptoms.
Janell Senda, Julia C Phillippi
PMID 39450671WHAT IT FOUND
A transfeminine patient developed acute cystitis after tucking with tape.
Urinalysis showed blood, leukocytes, and nitrite, and she was treated with antibiotics. She reported all symptoms resolved three days later. Gender identity alone does not tell clinicians which genital anatomy to assess.
Key findings
01The patient had dysuria, frequency, and urgency after tucking with tape.
02Urinalysis showed trace blood, moderate leukocytes, and positive nitrite, and she was diagnosed with acute cystitis and prescribed sulfamethoxazole-trimethoprim 800 mg/160 mg orally every 12 hours for 7 days.
03Urine culture later showed 100,000 colony count of pan-sensitive Escherichia coli, and she reported all symptoms resolved.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a single composite case report, so it cannot show that the treatment worked or that tucking caused the cystitis. The case combines elements from different patients, so the clinical course may not reflect one real person. The patient declined STI testing and bloodwork, so other causes were not fully excluded. Urine culture results were not available at the visit, so the initial antibiotic choice was empiric. The background treatment guidance is not tested in this paper, and the authors state there is little consensus on regimens for cisgender men and even less for trans patients.
The easy way to misread this
Do not conclude that tape tucking caused the cystitis or that antibiotics were proven effective. This is a single composite case with no comparator, and the paper states it combines elements from different patients.