text: Long COVID and COVID 19 associated cystitis CAC There is scarce literature regarding genitourinary symptoms in COVID 19 especially post acute disease otherwise known as Long COVID We identified recovered COVID 19 patients presenting with new or worsening overactive bladder symptoms known as COVID 19 associated cystitis CAC We used the American Urological Association Urology Care Foundation Overactive Bladder OAB Assessment Tool to screen COVID 19 recovered patients presenting with urological complaints at our urban located institution from 5 22 2020 to 12 31 2020 Patients 10 14 weeks post discharge responded to 5 symptom and 4 quality of life QoL questions We reported median symptom scores as well as QoL scores based on new or worsening urinary symptoms and by sex We identified 350 patients with de novo or worsening OAB symptoms 10 14 weeks after hospitalization with COVID 19 The median total OAB symptom score in both men and women was 18 The median total QoL score for both men and women was 19 Patients with worsening OAB symptoms had a median pre COVID 19 symptom score of 8 4 10 compared to post COVID 19 median symptom score of 19 17 21 Median age was 64 5 range 47 82 Median hospital length of stay was 10 days range 5 30 We report survey based results of patients suffering from new or worsening OAB symptoms months after their hospitalization from COVID 19 Future studies with larger sample sizes and more extensive testing will hopefully elucidate the specific pathophysiology of OAB symptoms in the context of long COVID so urologists can timely and appropriately treat their patients 