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Urogynecology (Expert Forum)
Chronic UTI?
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
Chronic UTI?
by Betty45, Mar 07, 2008 02:04PM
I have been diagnosed with chronic UTI's for the last year by various doctors and went to a urologist who stated that he does not believe I have UTI's at all. I tried to explain that I have had countless urinalysis and have been given countless rounds of antibiotics in the last year - with no results of clearing up my urine. Had a urinaylsis today and regardless of being on antibiotics, I still have leukocytes (large amouts) and turbid clarity...and small traces of blood.
I went to the urologist, had a cystocopy and ultrasound (stated everything was fine.) They catherized me today - and took a sample of my urine and stated that it was absolutly sterile. The doctor wants me now to get a catscan and stop my antibiotics.
What I have noticed is a lot of irriation and redness around my urethra. I do have HSV2 but it is controlled by valtrex. I was wondering, could I have damaged my urethra, or is this b/c of my HSV2 that my urinaylsis comes up positive for leukocytes when I do a clean-catch, but negative when I am being cathetered?
I went to the urologist, had a cystocopy and ultrasound (stated everything was fine.) They catherized me today - and took a sample of my urine and stated that it was absolutly sterile. The doctor wants me now to get a catscan and stop my antibiotics.
What I have noticed is a lot of irriation and redness around my urethra. I do have HSV2 but it is controlled by valtrex. I was wondering, could I have damaged my urethra, or is this b/c of my HSV2 that my urinaylsis comes up positive for leukocytes when I do a clean-catch, but negative when I am being cathetered?
Doctor's Answer
by Lennox Hoyte, M.D., Mar 30, 2008 01:30PM
, Mar 30, 2008 01:30PM
THe only reliable way to diagnose a uti is by urine culture (it usually takes 3-5 days). Your urologist is right. urinalysis is not sufficient to diagnose a UTI, and should probably not be used to diagnose chronic UTI. If your Cysto and CT scan are both negative, and you are clear that you do not have an HSV outbreak, your feelings of urgecy (i am assuming that is the symptom you are having) may be coming from trigger points in your pelvic floor muscles. If so, you might find relief from a visit with a pelvic floor physical therapist, who can help you break up these trigger points, which may decrease your symptoms. The leukocytes from the "clean catch" are probably contamination from when the urine passes through the end of the vagina on its way into the cup.
Dr. Hoyte
Dr. Hoyte
