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Had UTI. Was Given Cipro. Had UA And UC, Where UA Showed Trace Of Blood And Leukocytes. Suggestions?

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Posted on Fri, 5 Jul 2013
Question: Hi, I'm a 28 year old female who recently had a UTI and was given a 7 day course of Cipro, on day 3 I returned to my GP for a follow up & repeat UA & UC. UC was negative but the results of the UA were trace blood, trace leukocyte, WBC of 17 (RBC/ HPF was 4), and moderate amount of bacteria. should I be worried about these results? My GP wants to repeat. Did I test too soon? Could I still have remnants of the UTI after being on antibiotics for three days? Should I push for a cystoscopy? I also had a CT & MRI of the abdomen & pelvis, both bladder and kidneys were noted as unremarkable. Should I be concerned about bladder CA?
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Answered by Dr. G.Srinivasan (24 hours later)
Hi
Welcome to the forum.
I think you have done urine analysis a little too early.
Normally, i repeat only the UC and if negative, i do not worry.
Since CT and MRI are normal, i do not find any need to rush for cystoscopy.
The cause for RBC in urine is this situation is infection. So the chance of having cancer is very negligible mainly because the CT and MRI are normal.
Protocol in western countries is to do cystoscopy to rule out cancer, because early cancers are curable and hence the health care system does not want their citizens to detect when the cancer is advanced.
Hope you understand why cystoscopy is insisted in such situations.
best regards
DR GS


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

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Practicing since :1991

Answered : 1412 Questions

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Had UTI. Was Given Cipro. Had UA And UC, Where UA Showed Trace Of Blood And Leukocytes. Suggestions?

Hi
Welcome to the forum.
I think you have done urine analysis a little too early.
Normally, i repeat only the UC and if negative, i do not worry.
Since CT and MRI are normal, i do not find any need to rush for cystoscopy.
The cause for RBC in urine is this situation is infection. So the chance of having cancer is very negligible mainly because the CT and MRI are normal.
Protocol in western countries is to do cystoscopy to rule out cancer, because early cancers are curable and hence the health care system does not want their citizens to detect when the cancer is advanced.
Hope you understand why cystoscopy is insisted in such situations.
best regards
DR GS