What causes cloudy urine even after UTI treatment?

Question

Hello doctor,

I had a bad bout of UTI (Male 72) which started around last month, and I started antibiotics a week later (by that time there was very heavy blood in the urine and was getting severe chills). I took the antibiotics for nine days. Everything cleared up, and then I traveled, and upon my arrival here had cloudy and slow urine with some sensation in the urethra. No other symptoms. Do not feel I have a fever, I am feeling reasonably lively and reasonable appetite. This latest bout of cloudy slightly smelly urine has been going on now for five days. It seems to be unchanged. A urine test shows high leucolytes, pH around 7+Glucose negative to normal, Nitrite positive, Protein, Bilrubin, Urobiinogen and blood Ery/ul seem fine. Maybe miniscule amount of blood.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your queries. You had recurrent documented UTI with history of hematuria. As you are 72 now, and you had hematuria, you must undergo clinical examination and few investigations. You should contact your local urologist. He will examine you clinically. Will do a digital rectal examination to look for prostate size, consistency, presence of any suspicious nodule, etc. You need a few investigations also. USG KUBP and PVR, urinalysis, urine CS, uroflowmetry, serum PSA, urine for malignant cells for three days, last but not the least, you need one CPE (Cystoscopy) to look for any urinary bladder pathology. Hence you please do not be late to attend office of your local urologist. UTI may be the manifestation of other pathology. When you find UTI in male person you have to find out the cause. In your case prostate pathology may be the cause.