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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic UTI With Pain During Urination?

Yes. I was dionised with UTI hv been treated 3times using different medicine in one month but am not cured. I feel some pinch like pain inside the tube that passes urine in my penis while am passing urine n sometimes even when am not. Now have realised am passing whit mucus like floating strings in my urine what does all this mean?
posted on Mon, 6 Jul 2015
Twitter Wed, 15 Jul 2015 Answered on
Twitter Thu, 16 Jul 2015 Last reviewed on
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General & Family Physician,  's  Response
Hello dear,

The white mucus like strings while passing urine are suggestive of casts. They are indicative of persistence of the infection as well ongoing damage to the kidney and renal tubules.

Recurrence of Urinary tract infections even after treatment can be due to:
1. Inadequate duration of treatment
2. Inappropriate dosage of the medications
3. Inappropriate selection of antibiotics against the causative organism.
4. Improper treatment of underlying cause of the UTI.

Under such circumstances, the following corrective measures should be taken:
1. Discuss regarding the adequate duration of treatment with your treating physician.
2. Discuss regarding the proper dosage of medications depending your age and body weight.
3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic.
4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract.

Wishing you a good health.
Take care.
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What Causes Chronic UTI With Pain During Urination?

Hello dear, The white mucus like strings while passing urine are suggestive of casts. They are indicative of persistence of the infection as well ongoing damage to the kidney and renal tubules. Recurrence of Urinary tract infections even after treatment can be due to: 1. Inadequate duration of treatment 2. Inappropriate dosage of the medications 3. Inappropriate selection of antibiotics against the causative organism. 4. Improper treatment of underlying cause of the UTI. Under such circumstances, the following corrective measures should be taken: 1. Discuss regarding the adequate duration of treatment with your treating physician. 2. Discuss regarding the proper dosage of medications depending your age and body weight. 3. Culture & sensitivity of the urine to be done for selection of appropriate antibiotic. 4. Additional investigations like X ray KUB (Kidney Ureter & Bladder) and Ultrasound scan of abdomen & pelvis will be helpful in detecting any hidden focus of infection in the Genito urinary tract. Wishing you a good health. Take care.