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What Causes White Tissue Like Matter In Urine?

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Posted on Fri, 29 Jan 2016
Question: I have been passing what looks like white tissue from my bladder. went the a urologist and he cleaned out my bladder and did a biopsy. results from it came back negative for everything he tested for. my blood tests were normal and my urinalysis showed no growth. my white blood count was extremely high. there was no infection in my bladder at all. been to several specialists since and had two more different biopsies and Dr's still have no idea what this is. it grows back the next day . please help me. I believe I know what it is but noone will listen.
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Fungating mass, needs evaluation and atypical causes work up

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Raised leukocytes and no infection are contradictory statements. Raised leukocytes means infective process going on. White tissue in urine should be assessed for calcium sediments, granular casts, albumin levels and other proteins assessment, renal functions etc.

Negative biopsies of a mass growing at a rapid pace should be assessed for fungating masses as any thign growing at that pace is worrisome and should be re evaluated for some malignancy options. Also interstitial cystitis can present this way.

The picture of urine shows brownish discharge , that is blood likely. Nutshell, with negative biopsy and histopathology and urine culture reports, atypical causes like fungal infections and urinary tract infection or interstitial cystitis etc should be considered.

If possible i would like you to share the biopsy report statements with me as well as any other conclusive evidence yet your doctors could come across, may be in could connect the dots better then.

Ihope it helps. Take good care of yourself and don't forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (1 hour later)
I don't have IC or a urinary tract infection. it's not cancer or endometriosis or yeast. I did my research and did my own test and I know it's a fungus because I tricked my dr into giving me a antifungal pill by telling him I had a yeast infection. I knew 2 dose
s wouldn't kill it but it could lessen my symptoms and then I would know more about what I was dealing with. a week later, my symptoms improved. I stopped hurting and I wasn't passing that stuff anymore and I was passing it every day. I even looked into it more about what it was and where I got it and for how long. symptoms started in 08..the effects it's had on me over the years will blow your mind. I'm on to something huge here and noone will listen to me.
doctor
Answered by Dr. Shafi Ullah Khan (6 minutes later)
Brief Answer:
Needs work up and evaluation

Detailed Answer:
Thank you for getting back to me

As i mentioned the major diagnostic modalities are urine routine exam, urine culture, cystoscopy, biopsy of the bladder sample etc to sort out the cause. All these labs were negative and clean which is a good thing.

Fungal infections comes next, as you mentioned your symptoms improved with use of antifungals , that makes it more likely to be a fungal infection. let your doctors arrange fungal hyphae cultures to sort out fungal etiology and also parasitic etiologies like schistosomiasis etc.


You may request a repeat cystoscopy this time even assessing ureters and kidneys if possible and let them takr tissue samples from different sites of bladder to be more thorough.

Medicine and diagnostics work on testing and diagnostic modalities and with all those coming negative, i am afraid more and more effort to find out the cause is the only option doctors can provided.

I f you still feel like no body listens to you mam, i am here to reassure that we listen and we care and we are all ears to what you have to say , but you will need thorough investigation to find out the alternative etiologies.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (38 minutes later)
Trust me, I've tried. my Dr's too busy and other drs won't take me because they can't do anything for me. I feel like I am out of options. I'm afraid this is going to kill me. I seriously have fought so hard at this, not sure if I have any more fight left. I don't know where to go from here. after 6 drs and 3 biopsies, I'm the one that figured this out..I knew I had to. I'm only 34 yrs old and was in perfect health before all of this. it's new and scary. I feel like I am going crazy. I have the answers, I just don't know how to get anyone to listen. it's comforting to hear you are on the same page which makes me feel less crazy. thanks for your help! you don't know how good that makes me feel.
doctor
Answered by Dr. Shafi Ullah Khan (3 minutes later)
Brief Answer:
:)

Detailed Answer:
Thank you for kind words

It our duty to make our patients feel comfortable. Its good that you have answers now. Please feel free to get back to me any time with nay query you have. I will be more than happy and obliged to respond at an earliest convenience. Regular follow ups and routine exam would be wise.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (8 hours later)
I hate to bother you again but if this isn't treated properly, will this kill me? I have been dealing with blockage at times (not all of the time). can this spread to my husband or anywhere else in the body?
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
No worries

Detailed Answer:
Thank you for getting back to me

Usually bladder infections due to fungal causes are rare, but its another form of UTI a bit atypical but easily treatable and manageable. Also its not transmissible via coitus or intimacy so you wont spread it to your husband. However get genital swabs to rule out genitals involvements as that could cause involvement and transmission. Rest assured treatment is symptomatic and recovery is very good.

I hope it helps.
Regards
Khan
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
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes White Tissue Like Matter In Urine?

Brief Answer: Fungating mass, needs evaluation and atypical causes work up Detailed Answer: Thank you for asking I read your question and i understand your concern. Raised leukocytes and no infection are contradictory statements. Raised leukocytes means infective process going on. White tissue in urine should be assessed for calcium sediments, granular casts, albumin levels and other proteins assessment, renal functions etc. Negative biopsies of a mass growing at a rapid pace should be assessed for fungating masses as any thign growing at that pace is worrisome and should be re evaluated for some malignancy options. Also interstitial cystitis can present this way. The picture of urine shows brownish discharge , that is blood likely. Nutshell, with negative biopsy and histopathology and urine culture reports, atypical causes like fungal infections and urinary tract infection or interstitial cystitis etc should be considered. If possible i would like you to share the biopsy report statements with me as well as any other conclusive evidence yet your doctors could come across, may be in could connect the dots better then. Ihope it helps. Take good care of yourself and don't forget to close the discussion please. Regards Khan