The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
We spoke yesterday regarding my chronic pelvic pain condition. I would be doing both urine and semen culture soon. Is there any specific culture or PCR testing to be done? The reason I am asking this is that the traditional dipstick and culture test does not seem to be accurate based on current research. I have read up on a urologist who has done extensive research on conditions like mine. He mentions that chronic prostatitis and interstitial cystitis are basically chronic UTIs. He has used a method of antimicrobial treatment that has helped many of his patients. His way of testing urine samples are also different. Please let me know if my condition is possible to be an untreated chronic UTI. Also, what are the specific bacteria and pathogens that I need to be sending my culture for? I have attached a picture of a more advanced testing method, do let me know if I should get that done. Kindly give your opinion.
Hi,
Welcome back to icliniq.com.
The method varies, and the PCR (polymerase chain reaction) is accurate when there are atypical bacteria like TB (tuberculosis), for example. Your urine microscopic analysis showed no bacteria. The thing I am trying to get is the sample that contains the organism, like semen. I do advise for PCR if culture is negative and pus cells and leukocytes are there suspecting atypical infection. And that can be the second step. We get urine analysis and culture semen culture, and we go according to the report if there are pus cells and organisms despite negative culture, then we do a urine PCR test. Why do this is because PCR does not provide the sensitivity for that bacteria to the antibiotic. Therefore we will go step-by-step. For chronic pelvic pain syndrome, I suggest you the take, tablet Celecoxib 200 mg once daily, tablet Tamsulosine 0.4 mg once at night, tablet Toltaridine (Tolterodine Tartrate) 4 mg once daily, and tablet Neurobion (Vitamin B1, Vitamin B6, and Vitamin B12) one tablet once daily.
If you have any more queries, please let me know.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
I am getting pain in penis and tingling sensation in testicles. Please help.
My HIV DNA PCR and tridot test are negative. Do I need further tests?
Is negative RNA PCR test on day 12 a conclusive one?
I have pelvic pain, and my left leg is numb and tingly. Can it be an anxiety attack?
Will recurrent prostate infection affect fertility?
I have pelvic pain for the second time in five years. Please suggest a treatment.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
