Currently treating if you are physically in:
〰️
Utah
〰️
Idaho
〰️
More states to come
〰️
Currently treating if you are physically in: 〰️ Utah 〰️ Idaho 〰️ More states to come 〰️
Relief Starts Here!
UTI Care from a Urology NP.
Get effective treatment whether you have one or multiple urinary tract infections (UTIs), with a focus on reducing infections long-term. We’re bringing the urology clinic to you!
We offer quick, convenient telemedicine visits—no waiting rooms, no insurance hassles, and no judgment!
All care is provided by a licensed Nurse Practitioner in a confidential HIPAA compliant telemedicine appointment. Our treatment and prevention plans ensure safe, evidence-based care.
What we do
We provide fast, evidence-based care for urinary tract infections. Whether you just have one UTI right now or are getting recurrent UTIs — we are here to help! We are bringing the urology office to you by offering personalized evaluations and treatment plans that focus on preventing infections long term. We offer:
Simple, private, HIPAA compliant telemedicine visits, 100% online
Convenient hours
Care from board certified nurse practitioner with almost 10 years of urology experience.
Our goal is to make UTI care straightforward, supportive, and accessible. No insurance. No waiting rooms. Just convenient, reliable treatment from a clinician who specializes in urinary health.
Currently providing care if you are located in Utah or Idaho with more state access to come!
Appointments
Most visits can be completed same or next day!
Evaluation of Recurrent UTIs:
$85.00
For patient with 2 UTIs in the past 6 months, or 3 UTIs in the past year. Includes full review of:
Previous infections/lab results
Urinary symptoms
Detailed health history
Current medications
When appropriate, labs, imaging, prescriptions, or referrals will be ordered. This is a “new patient” appointment and is only needed one time. Future appointments would be follow up or acute UTI visits.
If you are actively experiencing a UTI, we can also address it at the same time.
Current UTI:
$50.00
Get fast treatment, testing, and symptom relief for a current UTI. If you are experiencing any symptoms of a UTI, including:
Burning with urination
Frequency/urgency
Pelvic/bladder pressure or pain
Cloudiness or bad odor to the urine
During your appointment, we will review your symptoms, order lab testing, and provide prescriptions with antibiotics and symptom relief medications.
Follow Up visit:
$40.00
This visit is designed to follow up on the evaluation of recurrent UTIs visit, we will review:
Active care plans
How prescription medications are working and if you are experiencing any side effects
Reduction of the number of UTIs you are experiencing
Based on your symptoms and any new infections, we will make adjustments to your care plan.
If you are pregnant and/or experiencing fever, flank pain (back pain located in the kidney area), nausea/vomiting, generalized muscle aches, along with typical urinary symptoms, please seek in-person care.
How it Works
1.
Schedule Appointment
You will be taken to our secure electronic health record site where you will schedule your appointment
2.
Fill Out Forms
Fill out all forms prior to your appointment, this information will be automatically added to your visit note. Payment will be requested right before your appointment, we accept any debit/credit cards or HSA/FSA cards.
3.
Video Visit
You will be sent a link through emails/texts at your appt time. To start the secure visit, you just click on the link!
Ready to get started?
Education
Understanding UTIs and Recurrent UTIs
A urinary tract infection (UTI) occurs when bacteria enter the urinary system and begin to grow. While most infections affect the bladder, UTIs can also occur in the urethra, ureters, or kidneys. When untreated, infections may spread upward and can become serious and even lead to sepsis (blood stream infection).
Common symptoms of a UTI include:
Burning with urination
Increased frequency or urgency
Pelvic or bladder pressure
Cloudy or foul-smelling urine
Blood in the urine
According to the American Urological Association (AUA), up to 60% of women will experience a UTI in their lifetime. Of those, 20–40% go on to develop recurrent UTIs.
The National Institutes of Health (NIH) defines recurrent UTIs as:
Two infections within six months, or
Three infections within one year
While there is no single treatment that permanently eliminates UTIs, there are many effective strategies to reduce how often they occur.
How Recurrent UTIs Are Evaluated
A comprehensive evaluation helps identify what may be contributing to repeated infections. This may include:
Lifestyle factors
Hormonal changes, such as vaginal atrophy
Anatomical concerns (incomplete bladder emptying, kidney stones, urinary reflux)
Co-existing conditions (diabetes, autoimmune issues)
Medication-related risks
Urine cultures are an essential part of determining whether symptoms are from a new infection or a persistent organism. Unfortunately, many urgent care centers and large telehealth platforms do not obtain cultures, which can lead to ineffective treatment, unnecessary antibiotic use, and increased risk of complications like C. difficile.
The Growing Need for Accessible Urology Care
There is currently a nationwide shortage of urologists. The NIH reports that 63% of U.S. counties lack a practicing urologist, and this shortage is expected to worsen by 2030 as more physicians retire.
This makes timely care, especially during painful infections, harder to access.
My service is designed to bridge this gap by offering specialized, urology-focused care through telemedicine, making expert support available no matter where you live.
-
Fluids—at least 64 ounces per day
Probiotics—helps GI system be as healthy as possible
Cranberry with 36 mg of PAC-this helps stop the bacteria from traveling into the urinary tract system.
D-mannose, an example is Uqora-this helps make the lining of the bladder slippery so bacteria can not stick
Avoiding spermicides
Urinating after intercourse
Managing constipation
-
Vaginal atrophy happens to all of us women as we age. It is caused by the loss of estrogen to the vaginal tissue. This loss of estrogen can change the healthy environment of the vagina, leading to more UTIs. It can also cause vaginal dryness, irritation, and pain with intercourse. Treatment options include:
Vaginal estradiol cream
Mona Lisa Laser Touch treatments
Coconut oil/Crisco for lubrication
-
Post Coital—after intercourse, just one pill
Daily methenamine—turns the urine to a sterile environment, this does not contribute to antibiotic resistance as it is not used to treat infections.
Daily low dose antibiotics based off of culture results
-
Painful Bladder Syndrome (also called Interstitial Cystitis or Bladder Pain Syndrome) can feel exactly like a urinary tract infection, but without any bacteria present. Many people experience symptoms such as:
Burning with urination
Bladder or pelvic pain
Pressure or discomfort
Frequent urination
Urgency
Symptoms that worsen with certain foods, drinks, or stress
These symptoms often overlap with UTIs, which is why patients may be treated multiple times with antibiotics even though the urine is sterile.
Because this condition mimics a UTI, obtaining urine cultures (and sometimes PCR testing) is essential. If cultures repeatedly come back negative, it may indicate that the symptoms are due to bladder irritation—not infection
If your testing is negative for infection, we can help determine whether your symptoms may be due to bladder irritation or Painful Bladder Syndrome. We can refer you to a urologist or urogynecologist for further evaluation and treatment.
-
Researchers are currently developing immunizations designed to help reduce recurrent urinary tract infections. One of the most promising options is an oral vaccine called MV140, which has been used successfully in several other countries.
At this time, MV140 is not yet available or approved in the United States or Canada, but ongoing research and international use are encouraging. We are hopeful that this option will become available in the U.S. in the future.
FAQs
-
Due to current telemedicine regulations, I am licensed to treat patients physically located in Utah and Idaho at the time of their visit. I am actively working toward licensure in additional states, and this page will be updated as more states are added.
-
No. You simply need to be physically located in Utah or Idaho at the time of your visit.
-
Visits are completed online through a secure platform. You’ll answer a brief health questionnaire, and I’ll review your symptoms, history, and prior testing to create a personalized treatment plan. Most visits are completed quickly and conveniently—without a waiting room.
-
Most appointments can be made same or next day. In many cases, treatment can begin the same day, depending on your symptoms and whether testing is needed. Prompt care is a priority.
-
Yes. When appropriate and safe, prescriptions, including antibiotics, can be sent electronically to your preferred pharmacy.
-
Urine testing is often recommended, especially for recurrent or unclear symptoms. If testing is needed,we can order labs to any outpatient laboratory that is convenient for you.
-
If you have an electronic health record (EHR) account, called elation passport, results will be shared securely through messaging. If not, we will contact you directly by phone or text to review your results and next steps.
-
Care is focused exclusively on urinary tract infections. Current treatment includes acute and recurrent UTIs. We can evaluate you for persistent urinary symptoms and if unrelated to an infection, refer you to a urologist in your area.
-
If testing is negative or symptoms suggest another condition, we can discuss alternative causes and refer you to a nearby urologist.
-
Your care doesn’t stop after the initial visit. If symptoms persist or worsen, follow-up guidance and next steps will be provided to ensure your safety and comfort.
-
This service is currently self-pay. We accept credit/debit and HSA/FSA cards. Pricing is transparent and provided before your visit, with no hidden fees.
-
Yes. Care follows current urology and telemedicine guidelines, with careful screening to ensure telehealth is appropriate for your situation. If in-person care is needed, we will guide you accordingly.
-
PCR (polymerase chain reaction) urine testing is a highly sensitive molecular test that detects the genetic material of bacteria and other microorganisms. Unlike a standard urine culture, PCR can identify very small amounts and a broader range of organisms.
About Me
I’m Karen Waskowicz, a board-certified Adult Gerontology Nurse Practitioner with a Doctorate Degree in Nursing Practice. I have nearly a decade of experience in urology and women’s health. I have been working in a busy urology clinic, where I have helped thousands of women manage acute and recurrent UTIs, bladder concerns, and pelvic symptoms.
I started this telemedicine service after seeing how often women struggled to access fast, evidence-based care, especially during painful flare-ups or frequent infections. My goal is to provide reliable, specialized treatment exactly when you need it. UTIs are disruptive and exhausting, and timely, accurate care makes a real difference.
My approach is personalized and prevention-focused, using clear treatment plans based on current urology guidelines. I work with you to treat infections effectively, understand why they keep happening, and reduce how often they return. While UTIs can’t always be eliminated entirely, meaningful improvement is absolutely possible.
By focusing exclusively on urinary and bladder health, I’m able to offer highly specialized, compassionate care tailored to your needs. When you choose this service, you’re getting direct access to a clinician who listens, understands these conditions, and is committed to helping you feel better and stay healthy—without the wait times or barriers of traditional clinics.
I’m here to help you regain comfort, confidence, and control of your daily life.
