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What Causes White Clotted Discharge In Urine?

Posted on Mon, 16 Feb 2015

Question: Sir, five years ago my urine became white. Sometimes it passes with whitish clots. I went through investigation urine routine, ultrasound, blood test, kft, lft. But all the reports are normal except urine routine which having protein +++ and traces of blood. After so many urine investigation it diagnosed that I have problem of hemato-chyluria. Doctor suggested for renal sceletherapy. In this process povidine injected in my right kidney through catherisation. The process was done in Sept. 2014. After that I am strictly taking fat free diet and felt some relief. But from the last 20 days clots again started passing through urine. Now the clots are mixture of blood and whitish substance. Sometimes only thick blood clots pass through urine. Even sometimes urine looks reddish. I visited one doctor he told that there is no cure of this disease. Sometimes I taken medicine banocide forte twice a day. But no cure seen. Please advise me what to do I m very much worried. It completely affecting my family and professional life.

Answered by Dr. Suresh Heijebu (2 hours later)

Brief Answer:
Please provide further info.

Detailed Answer:
Hi

I understand your query and concern.

I am here to help you.

Lets evaluate your case thoroughly,step by step.

Cure is relatively possible in your case.

I need further info in your case before.

1.Your Gender?
2.Any renal scan you underwent prior to diagnosis.?

Thank you.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (6 hours later)

I am male 41 years old. I gone through renal sceletherapy on 10/09/2014 in which solution of povidine was pushed in my right kidney. report of cystocopy and sceletherapy attacched.

Answered by Dr. Suresh Heijebu (25 hours later)

Brief Answer:
Retroperitoneoscopic Renal Pedicle Lymphatic Disconnection is needed

Detailed Answer:
Hi Sir.

I understand your concern.

I have gone through all your reports uploaded.

You have so far received therapy directed at removing the clot through cystoscopy and preventive modalities like Sclerotherapy.These together termed as local measures.

You seem to have an abnormal liver function tests-possibly reflecting Hepatocellular injury and a Lipoprotein disorder.

The possible cause in your case could be non parasitic chyluria since there is no response to Hetrazan/banocide forte.

In the current context I advise you to have a diagnostic Contrast Lymphangiography.

There is also a possibility of Hepatitis C Membranous Glomerulonephritis.Its needs a Rule out.

For this a Kidney biopsy and Serum Complement profile is mandate.Since this can also present with heavy proteinuria(nephrotic syndrome).

Its very important to differentiate chylous proteinuria from nephrotic proteinuria.

I also request you to attach the Anti HCV report test,you doctor XXXXXXX has asked for.

The definitive treatment in your case is Surgical,since you have not responded to sclerotherapy or medical management.

The definitive surgical procedure is Retroperitoneoscopic Renal Pedicle lymphatic Disconnection.

Post your further queries,if any.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar