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Urology (Expert Forum)
leukocytes in urine
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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leukocytes in urine
by nsgnt, Oct 09, 2006 12:00AM
I'm a 46 year old female, relatively healthy. CT scan showed blockage in ureter of right kidney. Had IVP test done, and renal lasix scan which showed right kidney function to be better than left kidney. Had surgery Aug 28 for hydronephrosis, caused by an artery wrapped around my ureter, stent removed Sept 13. Keep getting UTI symptoms, urge to urinate, frequently, burning even when not urinating, nausea, pain in kidney, cloudy urine, no apetite. Go to GP., dip urine, shows postive 2+ blood, leukocytes 2+, but keep coming back negative cultures. Not taking antibiotics (since nothing grows), but what is the cause? How to get rid of symptoms? Very frustrating. Can't get an appointment to see my urologist/surgeon, he says wait and see if anything grows, but it never does, so I'm left with nothing. Any suggestions? Why would my urine dips show red and white blood cells, be cloudy, cause symptoms, but have no cure? Thanks.
Doctor's Answer
by Kevin Pho, MD, Oct 10, 2006 12:00AM
, Oct 10, 2006 12:00AM
Infection continues to be the most common cause of WBCs in the urine. Having bacteria grow out would be helpful, but as you know, this cannot always be the case.
Continuing the obtain urine cultures can be considered. Further evaluation of the lower GU tract can be done with a cystoscopy.
If there continues to be WBCs in the urine, consideration can be made to empirically treat with antibiotics - and then to use prophylactic antibiotics for prevention.
These options can be discussed with your urologist, or in conjunction with another opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Continuing the obtain urine cultures can be considered. Further evaluation of the lower GU tract can be done with a cystoscopy.
If there continues to be WBCs in the urine, consideration can be made to empirically treat with antibiotics - and then to use prophylactic antibiotics for prevention.
These options can be discussed with your urologist, or in conjunction with another opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
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