Background:The incidence of urinary tract infections (UTIs) is notably higher in young sexually active females and those with a prior history of UTIs. The practice of routine urethral catheterization for bladder emptying before minor gynecological procedures raises questions about its potential association with an increased likelihood of bacteriuria or UTIs. This study aimed to evaluate the impact of routine urethral catheterization on urinary symptoms and infections in women undergoing minor gynecological surgeries Materials and Methods: A total of 266 women scheduled for diagnostic hysteroscopy as part of their uterine evaluation prior to in vitro fertilization were included. Participants were randomly divided into two groups: Group I (those who underwent catheterization) and Group II (those who did not). Urine samples were collected and analyzed preoperatively and postoperatively, and participants were surveyed regarding urinary symptoms before and after the procedure. Results:Postoperative urinary symptoms such as dysuria, frequency, and urgency were significantly more prevalent in the catheterized group compared to the non-catheterized group. Similarly, asymptomatic bacteriuria (ASB), UTIs, and the subsequent requirement for antimicrobial therapy were significantly more frequent in the catheterized group. Conclusion:Routine urethral catheterization in women undergoing minor gynecological procedures was associated with a higher risk of dysuria, frequency, urgency, ASB, UTIs, and the need for antimicrobial treatment. This suggests that routine preoperative catheterization should be re-evaluated for such cases to minimize potential complications.