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What Do My Lab Test Report Indicate?

Posted on Tue, 3 Jan 2017

Question: Pus cells10-12/hpf, epithelial cells 10-12

Urine culture and sensitive report said bacteria is sensitive to akamicin and nitrofurantoin.

I used nitrofurantoin for 2 weeks. Pus cells down to 2-4 hpf but epithelial cells remain same.
I used amijet 500 for a week but still epithelial cells remain same.
What should I do now?
Is it sevior problem?

Note : I undergone with stricture urethra operation 3 times. UTI is repeated so many times.

Thanks in advance
D V XXXXXXX

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Epithelial cells in urine not to be worried for ..

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have Stricture of the Bulbar Urethra and seems to have undergone VIU (Optical Urothrotomy) thrice but has repeated episodes of UTI .

The UTI in patient with stricture urethra is always secondary to incomplete emptying of bladder and significant post void residual urine remaining in bladder .

You have rightly been prescribed Amikacin and Nitrofurantoin as per urine culture report The presence of epitheilial celss in urine signfies shadding of epithelial cells in bladder mucosa which is natural response of defence mechanism of body and ihas no significance at all and not to be worried about .

Since you have aleready undergone surgeries thrice you neeed to get the issue fixed by an open surgery of Urothroplasty .

DrSanjay XXXXXXX is an eminent Urosurgeon and authority in reconstructive surgery of Urethra and known all over the world for innovative approach in this field.

Please go ahead and get operated .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. P. T. Patil (2 hours later)

thank you so much for your answer.

question-1: do I need to take any antibiotics for epithelial cells(8-12hpf)?

question-2:
I see problem at TIP which becoming narrow even I do dilation.
Is this problem could be corrected by urethroplasty?

question-3:
After urethroplasty, do I face any eriction or sexual problems?

question-4:
does urethroplasty reduce my problem completely or earlier issues could repeated?

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
Read detail answers as outline below

Detailed Answer:
Hello
Thanks for follow up

I would answer your questions point to point as detailed below

1) You need have to take antibiotics for epithelial cells detected in urine

2).Dilatation is out dated procedure and leads to stricture to become more dense and tight .It will be corrected by Urethroplasty

3) No ,you will not have any sexual problems after urethroplasty.

4) Urethroplasty will resolve your problem for forever .His (Dr Kulkarni's success rate are 93%.)

Thanks and Regards
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (38 minutes later)

could you please suggest me antibiotics for epithelial cells(8-12 hpf)
I am 32 years old.
weight 95 kgs
Recently I took Akamicin injection 500 mg (daily once) for a week.

Answered by Dr. Dr. P. T. Patil (21 hours later)

Brief Answer:
You can take Nitrofurantoin twice daily for 2 weeks

Detailed Answer:
Hello
Thanks for follow up .

You can take urinary antiseptic like Nitrofurantoin twice daily for 2 weeks .

Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar