White and Red blood cells in Urine Test

[R.Craig]

I have recently been undergoing cerebral brain aneurism coilings in a ruptured. Normally procedure goes fine but this time there was definitea swelling up of my testicles after. I also had unusual intermitent time of my urine "sputtering out" rather than a regular stream. It was most concerning since it was like a garden hose when just turned and there were sections of hair in house. Is this sort of situation possible?  I understand blood in my urine since I frequently pass stone which leaves blood in my urine pretty much all the time.

My concern is the seemingly special mention of both red and white blood cells. I was advised that a infection is a possibility but they seemed to not want to commit to what else it could be. Obviously while battling ruptured brain aneurism I have grown to accept difficult diagnoses yet they seem to be holding some other possibilities back. What do you think. Can you see clear through the fog they left me in?

Hey - I paid the money, I trust you will take your best shot

Thank You In Advance

[Kevin Pho, MD]

WBC in the urine in men is considered abnormal and suspicious for infection.  You can also consider a prostate evaluate to rule out infection there.  This can be done with a digital rectal exam and prostatic massage.

RBC in the urine may be caused by a variety of diseases.  Kidney stones, intrinsic kidney disease, infection, or bladder diseases are all possible.  

I would consider treating any infection, as well as an ultrasound or CT scan of the kidneys to rule out stones or intrinsic disease.  A cystoscopy can be considered to look for bladder diseases or bladder cancer.

These options can be discussed with your personal physician or in conjunction with a urologist.

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_b

[lizscenic]

A related discussion, cells was started.