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Urology (Expert Forum)
Frequency/Urgency problem - negative urine culture, but high WBC.
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Frequency/Urgency problem - negative urine culture, but high WBC.
by chino42, Apr 06, 2007 12:00AM
I had 2 UTI in 3 week period. The second one was 3 weeks ago, but I'm still having urinary frequency/urgency problem. I've got 2 urinylsis and culture tests last week. Both culture tests came back negative. I'm assuming I do not have UTI or Kinday infection if both cultures came back negative. Am I right? My doctor mentioned that I have quite high white blood cell count in my urine. What does this mean? does this mean I have bad inflmmation in my bladder or something more serious? I'm mostly concerned about WBC, and hoping you can explain to me what this could be. I have no other symptoms beside frequency/urgency. I have a urologist appointment in July which is very far away, so I'd like to get some information on my condition. Please help. My doctor mentioned possible Interestitial Cystitis, but I thought with IC, there is no infection or high WBC.
Doctor's Answer
by Kevin Pho, MD, Apr 07, 2007 12:00AM
, Apr 07, 2007 12:00AM
A UTI can still be present despite a negative culture test. An elevated WBC in the urine is highly suggestive of continuing infection. If the symptoms persist despite appropriate antibiotic treatment, you can consider other diagnoses. IC can be considered - and tested via a potassium sensitivity test.
If you are a male, a prostate exam should be done, and prostatic fluid sent off to evaluate for prostatitis. A pelvic ultrasound or CT scan can be considered to look for an abscesses.
If the UTI become recurrent after continued treatment, prophylactic antibiotics can be considered.
These options can be discussed with your 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_
If you are a male, a prostate exam should be done, and prostatic fluid sent off to evaluate for prostatitis. A pelvic ultrasound or CT scan can be considered to look for an abscesses.
If the UTI become recurrent after continued treatment, prophylactic antibiotics can be considered.
These options can be discussed with your 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_
Member Comments
by Mandy_H, Apr 29, 2007 12:00AM
To: Urology - General
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by amy32, May 03, 2007 12:00AM
To: Urology - General
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