Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.

You are right in guessing it to be a residual UTI.
The white flakes are the pus debris in the urine. Bladder tenderness/pain is due to cystitis (inflammation of infection).
Was the urine cultured? What was isolated?
Cure depends on lot of factors like kind of bugs, any obstruction in the urinary tract, correct dose and duration of the right antibiotics.
Was an ultrasound done?
Please give details of your treatment and lab results to enable a better advice.
You may ask me a direct question at http://bit.ly/Dr-Prasad-Akole


I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer.
Take care and please keep me informed of your progress.ood Luck! Thank you!!

Hello Sylvia,

Thanks for posting your query,
From your description it is still evident that you are still having the UTI. What you will need to know is the fact that UTI could also be (besides bacteria) caused by fungi, protozoa, parasites etc and can also be associated to urethral stones. The whitish particles could be presence of urethral stones or fungi or parasites (even though very rare conditions). Since you have already been on a course of antibiotics, it will be better than a urine culture (+ antibiotics sensitivity test) be done to identify both the causing microbes and the specific antibiotics that could be used to completely eradicate it. I suggest that you also get screened for STDs as well.

Hope this helps

Hello,
Welcome to HCM
As per the details u have submitted, it's hard to tell the chemical nature of crystals you are passing in your urine..IT MAY BE A CALCIUM OR PHOSPHATE ..as you described that you are already used antibiotics for UTI, YOU NEED TO CHECK FOR THE STONES IN YOUR KIDNEY OR BLADDER.

I ADVISE YOU THE FOLLOWING TESTS

1.complete urine analysis
2.renal function tests
3.ultrasonogram of pelvis to rule out renal stones ,
4.culture sensitivity of urine

So I advise you to consult a urologist and u will betreated accordingly....

Hello and welcome to HCM.

Thank you for your query.

At first, if you have been diagnosed with a UTI, this should have been done with the help of a urine analysis (which would confirm the infection) and urine culture examination (which would help in ascertaining the most suitable antibiotic to treat your condition). Once this is done, an adequate dose and duration of course will surely relieve you of your condition.

Thus, if this has not helped. There could be a number of reasons for this: an inadequate antibiotic dose, inadequate duration of therapy, or a misdiagnosis. You could also be suffering from some other underlying condition that is causing your UTI to remain or recur.

For this, we will have to get an abdominal ultrasound to rule out/diagnose other causes.

Next, talking about the stringy white substance, this could either be a discharge or stones. A urine analysis can usually detect all crystals, thus my previous suggestion for the required investigations should suffice to find this. The next cause could be a genital infection, please consult a gynecologist and get yourself thoroughly evaluated, including laboratory examination of your urine and the discharge.
I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.