Q. I am frequently urinating and I have irritation in the urethra. Is it anything serious?

Hi,

Welcome to icliniq.com.

I can understand your apprehension.

But you need not worry.

As per the report images you have provided, your CT scan is absolutely fine as far as calculus (stone) is confirmed. To detect a calculus (stone), a plain CT scan without an IV contrast is sufficient as the majority of the stones are radiodense on CT. During an ultrasound examination for renal - ureteric - bladder calculus, it is important to scan the patient in a state of the distended urinary bladder. Sometimes, small stones can be missed, and backpressure changes caused due to them. To be sure, sometimes we ask the patient to urinate and then again scan them on the full bladder so that our chances of missing the calculus is decreased. However, in your case, if a competent sonographer did not detect calculus even on a repeat scan, then you may relax. (your CT scan also corroborates this). I will be happy if you could provide me with your ultrasound report and images and your CT scan images. The cause of your frequent urination could be a urinary tract infection (UTI). Kindly get a urine examination done and also check your blood sugar levels. In the case of the urinary bladder infection, on ultrasound, we can see thickening of the urinary bladder wall and significant post-void residual urine. In the event that a urinary tract infection (UTI) is diagnosed, you have the option to obtain a prescription for UTI online, ensuring appropriate antibiotics for the treatment of urinary tract infections.

I hope this helps.

Urinary tract infection.

Urine routine microscopic and pathological examination.

Complete blood count.

Blood sugar levels ( fasting, post-prandial, glycosylated hemoglobin).

Urinary Tract Infection.

Tiny calculi.

Urinary Tract Infection.

Urinary antibiotics depending on reports.

Urine alkaliners.

Drinking plenty of water or fluids.

Vitamin C.

Drinking plenty of water or fluids,

Not holding urine for long.

Control of blood sugars if diabetic.

Follow-up with reports.

Also provide me with USG images and reports.

Provide me with CT images.

Hi,

Welcome back to icliniq.com.

Do not worry. They must have done a scan again to be sure.

The other cause which may be of concern is bladder papilloma. However, it is of benign etiology and can be managed. At my clinic, we usually dispatch the report within half an hour. However, if the patient load is high or I need a second opinion, we provide the reports the next day. I pray and wish that your ultrasound report turns out to be normal. Once you get them, please share them with me for a better insight. Also, undergo the few investigations I did mention in my earlier reply and revert.

Best regards.

Hi,

Welcome back to icliniq.com.

I am happy to see that your report (attachments removed to protect the patient's identity) says nothing wrong with the kidneys except for a para-pelvic (simple) cyst in the left kidney. They have reported even the urinary bladder is normal, and the post-void residue of urine is also not significant.

The ureteric jets' visualization suggests that there is no obstruction to the flow of urine from the kidneys into the urinary bladder through the ureters, which is a good sign.

If there was something to worry about, then they would have mentioned it in the report.

So you can now just relax and stop worrying.

Just follow the instructions which I had mentioned earlier and drink loads of water and do not hold urine for too long.

Let me know if you have further doubts.

I wish you good health. Take care. God Bless.

Hi,

Welcome back to icliniq.com.

The usual protocol is to mention if the cyst is simple or complex. And if it is not mentioned, it is presumed that it is a simple cyst. I can tell if it is a simple or complex cyst if you could provide me with ultrasound images or video clips.

I had gone through the reports attached (attachments removed for protecting the patient's identity). Though the size is a little concerning, it is not at all something to get worried about. The usual complication which can occur in such simple cysts is rupture or infection. Majority of the cases, nothing happens. People live and die with such cysts without hampering their quality of life. There is no significant difference in parapelvic and peripelvic cysts. It is a little variation of location. I suggest you take an ultrasound scan every year or two to see for a change in size or appearance of the cyst. There is nothing to be worried about.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Jain Padmesh Satishchand

Experience: 20 + Yrs

Radiology

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