Please review this page before ordering urine culture testing.
Urinary Tract Infections
Urinary tract infections are not sexually transmitted infections and occur when bacteria in the genital area travel up the urethra into the bladder. These can occur in all age groups (children, middle-aged, elderly). Common symptoms of UTIs include burning when urinating, an urgency to urinate, a desire to urinate frequently and discomfort in the bladder area (just above the pubic bone).
Urine culture testing is used to diagnose the presence of bacteria within the urinary tract. A mid-stream sample is sent to the lab for an overnight culture test. Within 24-48 hours, we have a test result which specifies the type of bacteria grown, and a sensitivity analysis demonstrating which antibiotics can treat that bacteria. Bladder infections can be treated before testing is available and is routinely treated in most walk-in clinics and emergency rooms.
TeleTest offers to test for uncomplicated urinary tract infections.
Uncomplicated urinary tract infections are infections of the lower urinary tract (bladder and urethra). Complicated urinary tract infections result when bacteria from the urethra and bladder goes higher in the bladder system into the kidneys. Complicated urinary tract infections can cause:
Fevers
Chills
Rigours
Fatigue
Back Pain
Complicated urinary tract infections can cause sepsis, organ failure and if left untreated or receive delayed medical attention, can lead to death. If you are experiencing symptoms of a complicated urinary tract, we DO NOT recommend using TeleTest and suggest going to a local physician for assessment.
If you have had exposure to a new sexual partner, we suggest adding STI testing to your initial screening. If you have a new genital rash, we suggest going to a local clinic for visual inspection and swabbing as herpes rashes are not detected through urine culture testing or through our Standard STI panel, even if HSV antibodies are selected as an add-on, as antibodies to a new infection can take months to show.
Other causes of urinary symptoms
Urinary symptoms can also be produced by other medical conditions including:
Diabetes
Kidney stones
Kidney and bladder cancer
Prostatitis
Sexually transmissible infections
Other cancers
If you receive a negative culture result (no bacteria grow in your urine) it is important that you seek care at a local walk-in clinic for assessment to rule out a more serious problem, and determine if you need further testing including pelvic imaging.
If you do not understand the difference between a complicated and uncomplicated urinary tract infection, we suggest going to a local urgent care centre for assessment and not using TeleTest.
Urine culture results can take 24-48 hours to return results. In that interval of time, if you experience worsening symptoms we advise you to proceed to an urgent care centre for assessment.
When Not to Use TeleTest for Urine Testing
Your symptoms are worsening.
You have ANY symptoms of a complicated urinary tract infection.
You have not been able to produce urine or minimal urine despite drinking fluids.
You are experiencing recurrent urinary tract infections
General Questions
Can I get tested for a UTI?
UTI tests are ordered based on symptoms and are at the doctor's discretion during your consultation. Routine UTI testing is usually not done.
I forgot to ask for a UTI test. Can I add it to my requisition?
For new tests, you’ll need to complete another consultation request. This means choosing a new test panel, filling out the health history, and scheduling a doctor’s chat.
My urine culture came back negative - should I continue antibiotics?
A negative culture doesn’t always rule out infection. Bacteria can be present in very low numbers, partially flushed out by high fluid intake, or be types that don’t grow well in routine lab media. When you have the classic trio of burning, urgency, and frequent small voids - and these feel identical to past confirmed UTIs - doctors often start treatment right away rather than waiting for the lab report.
If your symptoms are already improving, keep taking the full antibiotic course your doctor prescribed; stopping early raises the risk of relapse or resistance. Seek same-day, in-person care if pain, fever, visible blood, or urgency persist beyond two days, or if new flank pain, nausea, or chills develop - these red flags suggest the medication may need to be changed or stopped, or other causes need to be investigated.
Remember, not all bladder symptoms are caused by infection. Overactive bladder, kidney or bladder stones, interstitial cystitis, STI related infections can mimic a UTI.
If you have any further questions about your treatment, you can submit a new intake request through our portal.
I’m a biological male with urinary symptoms but a negative urine culture. Can Teletest physicians prescribe antibiotics?
No. When a male patient has urinary symptoms but a negative urine culture, TeleTest physicians do not prescribe antibiotics remotely because a physical prostate and genital examination is necessary.
Why?
A prostate exam is required to rule out prostatitis or other conditions that can mimic a urinary-tract infection.
If you may have been exposed to an STI but haven’t completed full STI screening, you will need testing first.
If you have already completed STI testing and symptoms persist, a clinician must still examine the genitals to decide whether antibiotics—or another treatment—are appropriate.
Because these examinations can’t be done virtually, TeleTest cannot issue a prescription in this scenario. A local physician can assess you in person and determine whether antibiotics or another intervention is needed.
My urine culture shows “no growth,” but the lab comment says “organisms in low numbers.” What does this mean, and do I still have a UTI?
“Organisms in low numbers” indicates that the laboratory detected fewer bacteria than the threshold considered significant for a true urinary tract infection. Canadian labs generally use ≥ 100 000 CFU/mL (10⁵ CFU/mL) from a clean-catch midstream sample as the cut-off for “significant growth.” Anything below this level - especially if multiple different organisms are present - is usually interpreted as contamination from skin or genital flora introduced during collection rather than an active infection (this means urine picks up bacteria from the skin or the genital area before passing into the collection cup).
In most cases, such a result does not prove you have a UTI. However, if you continue to experience urinary symptoms (burning, frequency, urgency, pelvic discomfort) despite these negative or low-count culture results, it is important to book an in-person examination at a local clinic. A doctor can perform a targeted exam (including prostate assessment in males), and rule out other causes of persistent symptoms. Persistent symptoms plus a normal culture warrant hands-on evaluation rather than additional antibiotics alone.