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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does elevated WBC in a urinalysis indicate?

Answered by
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4374 Questions

Posted on Sat, 4 Jun 2016 in Cancer
Question: My husband is on Hormone Therapy (Zoledes) His RBC-URINE HPF was 0-3 on 3/31/16 and on 4/4/16 it was 11-25 Mucous ,UR Sed, QL, Automated Count showed present on both tests. His WBC's, UA/ HPF showed none on 3/31/16 but 3-5 on 4/4/16 . He has no pain, no symptoms, no urinary issues. His Dr is now ordering a culture. What is he looking for? and are these numbers considered to be very problematic? He has stage 4 prostrate cancer with Met's to the bone. He has been on Hormone Therapy (Zoledex) for once every 3 months for the last 9 months. He was on this tx before two years ago and was off for 1 and 1/2 years before PSA started to rise again. Thank You very much.
Answered by Dr. Prof. Kunal Saha 2 hours later
Brief Answer:
Your doctor wants to find if there is an UTI.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. A raised pus cell count indicates an urinary tract infection and so does a positive culture with a bacterial colony count of more than 10^5 per Your doctor had grown apprehensive on getting high pus cell count on one occasion but since the latter reports have not confirmed about the same, he has ordered for a culture.

The other things like periodic PSA monitoring and periodic administration of Zoledex are just a part of the regular monitoring and management.

Let me know if I could help further.

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

The User accepted the expert's answer

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