Question: Hi, it's me again. I just read some of your previous discussions with me, Dr Mangat, in which you suggested ultrasound and cytoscope. That scared me into thinking there could be something really wrong. Do I need those things? Seems expensive and painful. Could there be something really wrong, like cancer? I'm also concerned about articles stating the link between delirium and uti in older people. Should I be worrying about that happening? How dangerous or serious are these infections that keep coming?

I was maintaining a healthy lifestyle when I started hettingnthe infections and irritation which is probably why I have improved lipid profile as well as other positive findings in my blood work. But still the urinary symptoms continue and the infections flare. I guess I just would like to know that, if I get another flare up or the irritation and wbc's continue, is cancer something I need to be afraid of or would a urologist be looking for something that is not so ominous and would be easy to treat?

My doctor almost sent me to a urologist now because he thought maybe he could hive me answers to ease my fears and perhaps figure out why irritation and white blood cells are present. If the next urine test shows more wbc or bacteria then he's going to send me. I can't rest thinking that the symptoms I've been having, along with many infections, could be cancer. It makes me concentrate on every symptom. If I Knew that even another flare up of symptoms didn't mean cancer then. I could relax. My doctor said he would be sending me to a urologist just because he wasn't an expert at treating persistent infections but that he is confident that its nothing serious, just a nuisance and a urologist might have more ideas how to treat and/or reassure. Do you agree? Does cancer, or something serious present like this?

And would my blood work have shown something if there was something that serious going on?

I guess the reason I'm still so focused on this is because I have been using the estriol cream for quite a while and it doesn't seem to be making a huge difference in the amount of irritation I feel or the sensation of urethral spasm like feeling when I urinate. That's right before and in the beginning of urination, then it changes to feeling as if the urine is moving over irritated skin, but not bad, just noticeable.
So if it's really all due to menopausal changes, should the estriol have eliminated all symptoms? That's why I keep thinking about cancer causing the inflammation and infections.

I didn't understand what you said about the estriol cream. I think you had a typo.
And the cancer thing, I just need to forget that because there's no indication of that?
When I said feels like urine hitting irritated skin, I meant more the outside. There's a little irritation around urethra, as I described, but probably the opening. Gyn said it looked irritated. That's why I asked of the estriol should have worked. That's what everyone seemed to think I should use. However, it does burn a little for a few minutes when I apply it. But then it feels better.

Okay then, so do you agree with my doctor that this is more of a nuisance and not something serious even if I end up needing to consult with a specialist? Appreciate your input. Thank you


My doctor says a specialist would be able to have more ideas how to treat, but he's not worried that it's serious.