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Doctor insights on: Is Urine Sterile

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10mth constant mod/severe flank/side/abdo pain. Urine sterile-pyuria/blood/protein. Seen nephrologist & urologist & gynaecologist- no diagnosis. Help?

10mth constant mod/severe flank/side/abdo pain. Urine sterile-pyuria/blood/protein. Seen nephrologist & urologist & gynaecologist- no diagnosis. Help?

Endometriosis?: Endometriosis can cause pain in the abdomen and pelvis. It seems that you likely had a thorough work up if you saw both a urologist and a nephrologist. Without a physical exam and your complete history it's difficult to diagnose, but pain syndromes should be considered. Maybe get a 2nd opinion from another gynecologist? ...Read more

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Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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Can holding in your urine really cause a uti? I thought urine was sterile.

Can holding in your urine really cause a uti? I thought urine was sterile.

Yes. Good question: Urine is sterile, however bacteria are liable to travel up a female urethra, which is short, from within labia & area around urethral meatus (opening). Regular or frequent urination empies bladder of urine & unattached bacteria. This prevents utis in many women. However, bacteria have time to multiply & attach to bladder lining & cause UTI when subject holds urinating. Specially true after sex. ...Read more

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If a man has urine BACK flow of sterile urine into the epidymis and/or vas deferens how is this specific condition diagnosed accurately?

If a man has urine BACK flow  of sterile urine into the epidymis and/or vas deferens how is this specific condition diagnosed accurately?

Experience ...: Despite medical advance, most of healthcare is still based on indirect evidence resulting from continual collection & analysis of accumulated experience; thereby medical professionals offer reasonable explanation and treatment. Likewise, sterile epididymitis has occurred most often in new military recruits in strenuous training. So, pee whenever feeling an urge to pee; don't hold urine at hard... ...Read more

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How would a urologist (what tool) diagnose recurrent chemical epidymitis a backflow of sterile urine into the ejaculatory ducts? What tools? treatment

How would a urologist (what tool) diagnose recurrent chemical epidymitis a backflow of sterile urine into the ejaculatory ducts? What tools? treatment

Answered twice!: This question has been answered twice by me; that is what you need to hear. Hopefully, other colleagues may provide answer to suit what the inquirer likes to hear. If you like further discussion and counseling, welcome to www.Healthtap.com/dr-Lin with RQPWJC as keycode to log in. Best wish to health... ...Read more

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Why are antimicrobial agents prescribed after a urine culture if the culture is sterile?

Why are antimicrobial agents prescribed after a urine culture if the culture is sterile?

Antibiotics?: If a urine culture is sterile, there are no bacteria in the urine. In that case, antibiotics are not needed as they would have nothing to treat. ...Read more

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I am having sterile epididymitis and history of urine reflux, please guide me what care I should take. Waiting for ur reply doctor.?

I am having sterile epididymitis and history of urine reflux, please guide me what care I should take. Waiting for ur reply doctor.?

EPIDIDYMITIS: There can be a relation between the 2 if the reflux was high grade and there was bladder dysfunction. If the reflux resolved with repair or time this is a good sign. Nothing to take. ...Read more

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I get infrequent blood spotting every month before my period with a week or 2, i did a urine sample test and the result is sterile pyuria, what's this?

I get infrequent blood spotting  every month before my period with a week or 2, i did a urine sample test and the result is sterile pyuria, what's this?

Sterile pyuria: Means presence of white cells in the urine in the absence of bacterial infection on culture. It could be due to kidney disease, autoimmune or systemic illness, tb, medication side effect etc. Infrequent spotting could be from hormonal imbalance, ovarian, thyroid or adrenal problems. Take care! .http://en.m.wikipedia.org/wiki/pyuria. ...Read more