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Introduction: The Uzbek and Russian versions of the Acute Cystitis Symptom Score (ACSS) were developed as a simple self-reporting questionnaire helping to assess the typical and differential symptoms of AUC, their impact on quality of life and possible changes after therapy.Objectives: We aimed to translate the previously described ACSS questionnaire into German language and to validate the German version of the ACSS in a group of German speaking female patients.