Services
UTI Treatment,
Same Day
Burning, frequency, and urgency treated in one visit. A physician evaluates you, runs urinalysis in-house, and sends antibiotics to your pharmacy. Walk in any day.
Most uncomplicated UTI visits run about 30 minutes. No appointment needed.
Joint Commission AccreditedThe only one in Florida
Can I walk in for UTI treatment today?
Yes. TrufaMED treats urinary tract infections with same-visit urinalysis, a urine culture when indicated, and first-dose antibiotics, seven days a week. A typical uncomplicated UTI visit (physician evaluation, clean-catch urine sample, dipstick plus microscopy, and a prescription to your pharmacy) takes about 30 minutes.
When burning, frequency, urgency, or pelvic pressure begin, same-day diagnosis matters. An untreated UTI can climb to the kidneys within 48 to 72 hours. A board-certified physician evaluates you, runs urinalysis in-house, collects a culture when the presentation warrants it, and selects a guideline-based antibiotic. Most uncomplicated bladder infections are treated and released in under an hour.
Urinalysis and culture, on-site
Accurate diagnosis starts with a clean-catch urine sample, a bedside dipstick, and microscopy. Our on-site lab returns key results in minutes, so the antibiotic can be tailored before you leave. A culture with sensitivities is sent out when the case is complicated, recurrent, or a first-line antibiotic has already failed.
Symptoms we evaluate
A UTI rarely announces itself politely. These are the symptoms our physicians screen for, and any one of them is reason to walk in.
How we read the test
Dipstick findings that support a UTI include positive leukocyte esterase (white cells), positive nitrites (gram-negative bacteria), and microscopic pyuria. A negative dipstick in a patient with classic symptoms does not rule out infection, so we culture and treat empirically when the story is convincing. The reverse is also true: a positive dipstick in a patient with no symptoms does not necessarily warrant antibiotics, because asymptomatic bacteriuria is only treated in pregnancy and before certain urologic procedures.
When we send a culture
We send a urine culture when the patient is pregnant, male, pediatric, post-menopausal, recently hospitalized, diabetic, or immunocompromised, when symptoms have lasted more than seven days, when infections recur, or when the patient is not improving on empiric therapy. Culture plus antibiotic sensitivities take 24 to 72 hours, and we follow up by phone or portal with any adjustments. Most diagnostics run through our on-site lab.
Guideline-based first-line therapy
Our physicians prescribe by IDSA guidelines, tailored to local resistance patterns, your allergy history, pregnancy status, and kidney function. Fluoroquinolones are reserved for complicated cases because of their tendon, neurologic, and cardiac side-effect profiles.
| Antibiotic | Typical course | Best for |
|---|---|---|
| Nitrofurantoin (Macrobid) | 100 mg twice daily for 5 days | Uncomplicated cystitis in non-pregnant women.Avoid if a kidney infection is suspected or kidney function is reduced. |
| TMP-SMX (Bactrim) | One DS tablet twice daily for 3 days | Uncomplicated cystitis where local E. coli resistance is under 20 percent.Avoid in sulfa allergy or later pregnancy. |
| Fosfomycin (Monurol) | A single 3 g oral dose | One-and-done convenience, effective against many resistant organisms.Not for a kidney infection. |
| Cephalexin (Keflex) | 500 mg every 6 hours for 5 to 7 days | Safe in pregnancy and reasonable with penicillin tolerance.Also used in pediatrics. |
| Ciprofloxacin / Levofloxacin | 5 to 7 days, weight-based dosing | Kidney infection, complicated UTI, or culture-guided resistant organisms.Reserved per FDA safety labeling. |
Alongside antibiotics we often prescribe a short course of phenazopyridine (Pyridium or AZO), 200 mg three times daily for two days, to relieve burning while the antibiotic starts to work. Phenazopyridine is a bladder analgesic: it numbs urinary discomfort but does not treat the infection, so it is never used on its own. Your urine will turn orange-red on this medication, and you should avoid contact lenses during the course.
Hydration helps. We recommend a full glass of water every hour while awake for the first 48 hours, to flush the bladder and dilute irritated tissue. If nausea is preventing you from drinking, same-visit IV fluids and anti-nausea medication are available through our urgent care service.
When a UTI climbs to the kidneys
A simple bladder infection (cystitis) becomes a kidney infection (pyelonephritis) when bacteria ascend the ureters. Pyelonephritis is a different clinical problem: a longer course, intravenous antibiotics in many cases, and hospitalization when oral therapy is not safe.
The red flags
Four findings move the diagnosis from cystitis toward a kidney infection: a fever of 101 degrees or higher, flank pain (tenderness over the kidney on exam), nausea or vomiting, and shaking chills. Any two of those, with urinary symptoms, deserves same-day evaluation, labs, and often imaging.
The treatment path
An uncomplicated kidney infection in an otherwise healthy adult who is eating and drinking can be managed as an outpatient with oral antibiotics. We often give the first dose as an IV antibiotic in our clinic to reach therapeutic levels quickly, then hand the patient to oral therapy for the rest of the course.
When we admit
We coordinate transfer to the hospital when a patient cannot keep fluids down, is pregnant with a kidney infection, is septic or heading that way, is immunocompromised, or has a suspected stone blocking an infected ureter. Pregnant patients with pyelonephritis are admitted by default because of preterm labor risk.
When we image
Most uncomplicated UTIs need no imaging. We consider CT or ultrasound when flank pain is out of proportion to the infection (a possible obstructing stone), when there is a palpable mass, when there is no improvement after 48 to 72 hours of the right antibiotic, or when a known anatomic anomaly is in play.
For non-life-threatening urgent needs. For a true emergency, call 911.
UTIs that need a different plan
Most UTIs are straightforward. Some are not. The workup, antibiotic choice, and follow-up change for men, for recurrent infections, and for patients who are pregnant or very young.
UTIs in men are almost always complicated
Because the male urethra is long, a UTI in a man is uncommon and, when present, treated as a complicated infection by default. A culture is standard, not optional, and the visit includes a prostate exam and a post-void residual assessment. Even uncomplicated male cystitis typically gets 7 days of antibiotic, not the 3-to-5-day courses used in women, because short courses relapse. Nitrofurantoin is avoided because it does not penetrate prostate tissue. A first UTI in a man warrants a urology referral to look for obstruction, stones, or prostatic enlargement. In sexually active men under 35, our physicians also consider and test for infections that can mimic a UTI.
Recurrent UTIs: three or more in a year
Recurrent UTI is defined as three or more culture-confirmed infections in 12 months, or two in six months, and the pattern warrants a strategy change. Repeat short courses without a plan drive resistance without solving the underlying cause. Behavioral measures help many patients: post-coital voiding, front-to-back wiping, avoiding spermicides and diaphragms where possible, and a daily hydration goal of 2 to 3 liters. In post-menopausal women, atrophic tissue is a major driver, and topical vaginal estrogen restores tissue integrity and roughly halves recurrence in randomized trials. When behavioral changes and estrogen are not enough, options include low-dose nightly prophylaxis, single-dose prophylaxis after intercourse, or a self-start prescription kept on hand for the first symptom. We arrange a urology referral for any patient with blood in the urine, persistent positive cultures, a suspected anatomic anomaly, or a single episode of pyelonephritis.
UTIs in pregnancy
Asymptomatic bacteriuria is treated in pregnancy, unlike in non-pregnant adults, because untreated it progresses to a kidney infection in a meaningful share of cases, with significant preterm labor risk. Safe agents include cephalexin, amoxicillin-clavulanate, and fosfomycin. Nitrofurantoin is avoided in the last month of pregnancy, and TMP-SMX is avoided in the first trimester and last month. Pregnant patients with pyelonephritis are admitted to the hospital as the default standard. We recognize that picture, initiate treatment, and facilitate admission.
UTIs in children
A pediatric UTI is workup-heavy, and accurate urine collection matters: a clean-catch midstream sample for toilet-trained children, and a catheterized sample for infants and toddlers. A first febrile UTI in a child under 2 typically triggers a renal and bladder ultrasound to look for an anatomic anomaly. First-line antibiotics include cephalexin, cefdinir, or amoxicillin-clavulanate, depending on age and culture, usually for 7 to 14 days. We treat children (generally age 3 months and up) every day. See our clinical team.
Two quick reference points
How a kidney infection differs from a bladder infection, and the special rules for pregnancy.
| Finding | Bladder (cystitis) | Kidney (pyelonephritis) |
|---|---|---|
| Fever 101 or higher | Uncommon | Common |
| Flank pain or back tenderness | No | Yes |
| Nausea or vomiting | Rare | Common |
| Shaking chills | No | Yes |
| Typical course | 3 to 5 days oral | 5 to 14 days, often an IV first dose |
| Hospital admission | No | Case by case |
| Situation | What we do |
|---|---|
| Bacteria with no symptoms | Treated in pregnancy (not in non-pregnant adults) |
| Safe first-line agents | Cephalexin, amoxicillin-clavulanate, fosfomycin |
| Avoid in late pregnancy | Nitrofurantoin |
| Avoid in the first trimester | TMP-SMX |
| Kidney infection in pregnancy | Hospital admission as the default standard |
When a UTI becomes an emergency
The overwhelming majority of UTIs are urgent-care level. A small minority progress to urosepsis, a bloodstream infection of urinary origin that carries real risk. The findings below move care to the emergency department.
- New confusion, altered mental status, or profound fatigue with fever
- Signs of shock: cold clammy skin, a rapid weak pulse, very low blood pressure
- Severe flank pain with shaking chills and a high fever
- Pregnant with fever, flank pain, or severe urinary symptoms
- Inability to keep down fluids or medication
- Immunocompromised (chemotherapy, transplant, advanced HIV) with UTI symptoms
- A suspected kidney stone blocking an infected ureter (stone plus fever)
- Rapid worsening despite 48 hours of the right antibiotic
If you are unsure whether your symptoms are urgent-care or emergency level, come in. We triage on arrival, move patients to the ER when the findings warrant it, and treat the rest on site. A same-day physician evaluation is worth it when the alternative is missing an obstructed, infected kidney.
For chest pain, stroke symptoms, difficulty breathing, or any life-threatening symptom, call 911 or go to the nearest emergency room.
Why choose TrufaMED for UTI treatment
A UTI is one of the most common walk-in visits in urgent care. What sets accurate, safe treatment apart is the quality of the diagnostic workup, the discipline to follow guidelines, and the willingness to escalate when a case is not simple.
Florida’s only accredited urgent care
Joint Commission accreditation, the same standard that accredits hospitals, audits our sterile technique, medication safety, infection control, and clinical protocols. We are one of just eight accredited urgent cares nationwide.
A physician on every shift
A board-certified physician leads every shift and is involved in your care. The clinical team is led by Dr. Uri Gedalia (Chief Medical Officer) and Dr. Shane Naidoo (Medical Director, Emergency Medicine).
On-site lab results in minutes
In-house dipstick, microscopy, and culture collection through our on-site lab. Results shape the antibiotic choice before you leave the clinic, not days later.
Same-visit escalation
When a kidney infection needs a first IV dose, we deliver it in-clinic. When hospital admission is the right call, we arrange the transfer instead of sending you to the ER without a plan.
Covered by most major plans
UTI evaluation and treatment is a standard urgent care visit covered by Aetna, Cigna, UnitedHealthcare, Humana, Oscar Health, and Medicare. Self-pay pricing is quoted up front, with no surprise billing.
Open seven days
Symptoms intensify on evenings and weekends, when primary care offices are closed. We are open Monday to Friday 9 AM to 9 PM, Saturday 11 AM to 11 PM, and Sunday 12 PM to 8 PM.
Clear pricing, no surprise bills
No insurance? A self-pay UTI visit starts at $195 for the physician evaluation, and the in-house urinalysis is part of that workup. A urine culture, when indicated, is priced separately and quoted before you are seen.
UTI evaluation and treatment is also a standard urgent care visit covered by most major plans. We verify your benefits and explain any out-of-pocket cost before your visit. See the full sheet on our insurance page, or contact our team to confirm your plan.
Led by board-certified physicians
Our clinical leadership brings hospital-grade training in emergency medicine and surgery to a boutique walk-in setting, where a UTI is read carefully and escalated when it needs to be.
Dr. Naidoo leads the clinical team as Medical Director. Board-certified in emergency medicine, with deep expertise in adult and pediatric emergency care, trauma, and critical care. That training is exactly what matters when a routine UTI turns out to be a kidney infection that needs a faster path.
Dr. Gedalia is TrufaMED’s Chief Medical Officer and a Fellow of the American College of Surgeons. Board-certified in general surgery, with extensive experience in procedural medicine and advanced diagnostics. He oversees the clinical protocols that govern every UTI visit.
UTI treatment, answered
The questions our physicians answer most often about urinary tract infection evaluation and treatment.
Can I get UTI treatment today without an appointment?
Yes. TrufaMED is walk-in urgent care, open seven days a week. A typical uncomplicated UTI visit (physician evaluation, on-site urinalysis, and a prescription sent to your pharmacy) takes about 30 minutes. You can also check in online ahead of time to reduce your wait. Hours are Monday to Friday 9 AM to 9 PM, Saturday 11 AM to 11 PM, and Sunday 12 PM to 8 PM.
How soon will my UTI symptoms improve after antibiotics?
Most patients feel meaningful relief within 24 to 48 hours of the first dose, with burning and urgency fading first. Complete the full course even after you feel better, because stopping early drives resistance and relapse. If your symptoms are worsening or unchanged at 48 to 72 hours, call us so we can switch you to a culture-guided antibiotic.
Will I need a urine culture, or just a dipstick?
Dipstick plus microscopy is often enough for uncomplicated cystitis in a healthy, non-pregnant woman. We send a culture when the patient is pregnant, male, pediatric, post-menopausal, immunocompromised, has had recurrent UTIs, has symptoms for over 7 days, or has not responded to first-line therapy. Culture results take 24 to 72 hours and guide any antibiotic adjustments.
Which antibiotic is best for a UTI?
Guideline-based first-line options for uncomplicated cystitis are nitrofurantoin (5 days), TMP-SMX (3 days where local resistance allows), or fosfomycin (a single 3 g dose). Cephalexin is used in pregnancy and pediatrics. Fluoroquinolones are reserved for kidney infection (pyelonephritis) or complicated cases because of FDA boxed warnings for tendon and cardiac side effects. Our physicians prescribe by IDSA guidelines, tailored to your allergy history, pregnancy status, and kidney function.
What are the signs my UTI has reached my kidneys?
Fever of 101 degrees Fahrenheit or higher, flank pain (pain in the side or back under the ribs), shaking chills, and nausea or vomiting alongside urinary symptoms. Any two of these together deserves same-day physician evaluation. A kidney infection (pyelonephritis) is treated with a longer course, often starts with an IV dose of antibiotic, and sometimes requires hospital admission.
Can men get UTIs?
Yes, though it is less common because of male urethral anatomy. When a UTI occurs in a man it is treated as a complicated infection by default: a longer antibiotic course (7 to 14 days), a culture every time, and usually a urology referral to look for underlying causes such as prostatitis, stones, or outflow obstruction. Nitrofurantoin is generally avoided in men because it does not penetrate prostate tissue.
What should I do about recurrent UTIs?
Recurrent UTI is three or more culture-confirmed infections in a year, or two in six months, and the pattern warrants a strategy change. We work through a personalized plan: behavioral measures (post-coital voiding, hydration), topical vaginal estrogen for post-menopausal women, and prophylactic antibiotic strategies (daily, post-coital, or self-start therapy) based on your pattern. A urology referral is arranged for any patient with blood in the urine or anatomic concerns.
Is it safe to treat a UTI while pregnant?
Yes, and it is important to treat, including asymptomatic bacteriuria in pregnancy, because untreated it can progress to a kidney infection with preterm labor risk. Safe first-line agents include cephalexin, amoxicillin-clavulanate, and fosfomycin. Nitrofurantoin is avoided in the last month of pregnancy, and TMP-SMX is avoided in the first trimester and last month. Pregnant patients with pyelonephritis are admitted to the hospital as the default standard of care.
Can children be treated for a UTI here?
Yes. We treat pediatric patients (generally age 3 months and up) every day. Accurate urine collection is critical: a clean-catch sample for toilet-trained children, and a catheterized sample for infants. First-line antibiotics include cephalexin, cefdinir, or amoxicillin-clavulanate, typically for 7 to 14 days. A first febrile UTI in a child under 2 often gets a renal ultrasound to look for an anatomic anomaly.
Can I just use cranberry or over-the-counter AZO?
Cranberry products have modest evidence for preventing recurrent UTIs, not for treating an active infection. Phenazopyridine (AZO) numbs bladder discomfort but does not kill bacteria, so using it alone lets the infection worsen. For a symptomatic UTI, see a physician and start evidence-based antibiotic therapy. You can use AZO alongside the antibiotic for one to two days of symptom relief.
How much does a UTI visit cost without insurance?
A self-pay UTI visit starts at $195 for the physician evaluation, and the in-house urinalysis is part of that workup. A urine culture, when indicated, is priced separately and quoted up front. Pricing is shared before you are seen, with no surprise billing. UTI evaluation and treatment is also a standard urgent care visit covered by most major plans, including Aetna, Cigna, UnitedHealthcare, Humana, Oscar Health, and Medicare.
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Find the right care
Walk in from Miami Beach and nearby
TrufaMED is at 9445 Harding Ave in Surfside, minutes from Bal Harbour, Bay Harbor Islands, Miami Beach, Sunny Isles, and Aventura.
Hours
Monday–Friday 9 AM – 9 PM
Saturday 11 AM – 11 PM
Sunday 12 PM – 8 PM
Walk in anytime during open hours, no appointment needed.
Contact
Phone (305) 537-6396
WhatsApp +1 (305) 842-9801
Email [email protected]
For a life-threatening emergency, call 911. TrufaMED is urgent care, not an emergency room.
UTI symptoms? Walk in today.
Same-visit urinalysis, a culture when indicated, and guideline-based antibiotics in a single urgent care visit. No appointment needed. Most insurance accepted.
Content on this page is for general information and does not constitute medical advice. Proper diagnosis and treatment require an in-person physician evaluation. If you have confusion, severe flank pain with a high fever, signs of shock, or any other life-threatening symptom, call 911 or go to the nearest emergency department.
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Conveniently Located in Surfside, FL
TrufaMED Urgent Care is located at 9445 Harding Ave, Surfside, FL 33154, at the corner of Harding Avenue and 95th Street. We are just 2 minutes from Bal Harbour Shops, steps from the Surfside Community Center, and easily accessible via Collins Avenue from Miami Beach, Bal Harbour, and Sunny Isles Beach.
Guests at nearby hotels including the Four Seasons Surf Club, The St. Regis Bal Harbour Resort, and the Faena Hotel Miami Beach are just minutes away. We also serve patients from Aventura, Bay Harbor Islands, Indian Creek, and North Miami Beach.
Open 7 days a week • No appointment needed • Walk-ins welcome • (305) 537-6396