I am a 29-year-old woman with recurrent culture-proven UTIs since 2021, initially mostly E. coli ( 6months gap). Post IBS in 2024 proteus and latest Enterobacter cloacae were detected and gaps reduced to 3 months. After antibiotics dosage completion burning urination returned after 2-3days . These episodes were culture negative with epithelial cells >15/hpf. Most recently, culture showed E. coli >100,000 CFU/mL. Tamsulosin 0.4 mg and microlift b6 significantly reduces discomfort . USG, PVR, uroflowmetry, MCU and DMSA are all normal. One urologist suggested UDS, while another felt my dysuria was because of somatization and advised against UDS. Why do I keep getting different bacterial UTIs despite reassuring tests, and why does dysuria increased post ibs? Could altered vaginal flora, urethral sensitisation or another factor explain this? Also is there any possibility to get -ve culture even if any bacteria present are dorment/biofilm? I did take cranberry supplements as well.
Hello Doctor, I have attached the ultrasound report. It shows a 6 mm stone in the lower left ureter, close to the VUJ, with moderate hydroureteronephrosis.
He sometimes has very severe pain, followed by vomiting, and at times he vomits even after eating anything. He also sometimes has difficulty passing urine.
Could you please advise:
1. Does this level of blockage require urgent treatment?
2. Should we do RFT/KFT, urine routine/CUE, urine culture and CBC now?
3. Can we wait for the 6 mm stone to pass naturally, or would you recommend laser/ureteroscopy?
4. If medicines are appropriate to help the stone pass, what should he take and for how long?
5. Does the moderate hydroureteronephrosis need any immediate treatment or monitoring?
Please advise what the next step should be.
Is surgery required for kidney stone of 5-6 mm in both kidneys or the medication is enough to removal of these stone size from kidneys.
Hello i having this erection problem like i am not able to get erection without watching something like porn. And erection is only lasting for few seconds and it becomes soft. I had varicocele grade 1 in 2021 and i saw a urologist again last week he checked through physical examination and didn't find anything like in varicocele. He gave me a tablet called Revel 100 mg, containing Mucuna pruriens extract 100 mg for 15 days and he asked to take testosterone test also.
I am worried right now because of this issue.
Age : 25
Weight : 100kg
Height : 160 cm.
I am in obese state.
Is obesity causing these issue? . If i loose weight will this issue will be resolved.
How can have a good erection and strong.
Symptoms i have:
Gained more weight.
Taking time to build muscle eventhough going to gym.
How to solve these issue.
My name is Ajay, and I am 24 years old. I developed a kidney stone three years ago; last year, the stone became lodged in the upper ureter, so I underwent PCNL surgery. The stone measured 15mm, and I have had a stone analysis test done. I used to consume a lot of salt, and I suspect that salt intake was the cause of the stone problem. Please advise me on what dietary changes I should make to prevent this issue from recurring in the future.
