HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Can Stent In Ureter Cause WBCs In Urine?

default
Posted on Wed, 24 Jun 2015
Question: I have a ureter sent and am going in for my 3rd procedure with scope, laser lipotripsy ,and possible stent exchange tomorrow. My total protein is good, but there is a lot of microscopic wbc and rbc and 2+ protein. The globulin is slightly high= 3.9 and the alb/glob. ratio is slightly low .9. Can all of this be due to the stones and stent?
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Slight low A/G ratio is mostly due to infection associated with stone .

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have stone disease and have put stent in your ureter .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) What is the location of stone whether in kidney or Ureter ?
2) What is the size of the stone ?
3) What is status of Renal function reflected in blood tests.?
4) Do you urinary symptoms like burning ,frequency etc?

The presence of RBC ,WBC and protein with slightly lower Alb/Globulin ration is mostly due to associated UTI.

Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.

Please take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute.

Hope I have answered your query ,please feel free to ask if you have more questions I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. P. T. Patil (18 minutes later)
It started as a 1.4 cm stone on the left side which was shock waved with lipotripsy, then I went into er next morning with pain and was admitted. Later that day I had the scope, laser, and stent. Tomorrow, I will back for the same procedure basically and will see what remains of the stone fragments. I believe 5 were removed last time (pieces of the original stone of course).

re: funcition: Total protein normal
Creatine .53 Bun 8 GFR 153. It said the wbc and rbc were "too numerous to count" in the urine.

Does this provide you the additional info. needed? Thank you
doctor
Answered by Dr. Dr. P. T. Patil (1 hour later)
Brief Answer:
This is due to Infection

Detailed Answer:
Hello
Thanks for feedback.

Your Renal Function status is normal.

The stone of a size of 1.4 cms was fragmented by ESWL and you have passed few fragments .The rest of the fragments need to be fragmented further to powder it so it can pass down with ease.

This is normal protocol and nothing to be worried about it.

The stent that you have will help to dialte the ureter so as to help pain free passage the fragments and will be removed once 100% stone clearance is achieved.

In the mean while continue taking antibiotics.
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10587 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Can Stent In Ureter Cause WBCs In Urine?

Brief Answer: Slight low A/G ratio is mostly due to infection associated with stone . Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have stone disease and have put stent in your ureter . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) What is the location of stone whether in kidney or Ureter ? 2) What is the size of the stone ? 3) What is status of Renal function reflected in blood tests.? 4) Do you urinary symptoms like burning ,frequency etc? The presence of RBC ,WBC and protein with slightly lower Alb/Globulin ration is mostly due to associated UTI. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute. Hope I have answered your query ,please feel free to ask if you have more questions I shall be happy to help you Thanks and Regards. Dr.Patil.