Brief Answer:
Possible causes and recommended examinations explained below

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

I carefully read your query.

A common cause of dark smelly urine is a urinary infection or problems related to the prostate. There is not much information provided on the tests and examinations you have had and if you have seen a doctor or not related to these complaints.

In general, when there is dark smelly urine the following tests are recommended:
- urinalysis to check for the presence of blood, bacteria, and white blood cells (which fight infection) and these may indicate the presence of infection or kidney stones. Prostate problems cause minor changes in urinalysis.
- a urine culture will further determine if there are bacteria present, which are these bacteria and which antibiotic is effective in this case
- a rectal exam to evaluate the prostate
- sometimes an abdominal ultrasound is ordered to evaluate the kidneys, urinary bladder, and prostate.
- rarely an MRI or CT scan examination is needed (if a tumor is suspected-this is rarely the case)

After a thorough physical examination and having the results of some of the above tests, the doctor will be able to determine the exact cause of your symptoms and recommend proper treatment.

Meanwhile, continue to drink plenty of water to flush the urinary system and prevent the worsening of your symptoms.

I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

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