Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does Brown Mass Like String In Urine Indicate?
Question: I am 45 yr old postmenopausal (premature menopause, no surgeries) female on replacement hormones. I have had ongoing infection for many months that presents as UTI however, urinalysis showed no bacteria, Treated for yeast by gynocologist which did not clear infection. Urologist put me on bactrim, which also did not clear. I have had 2 gyno exams, xrays, ultrasound (internal and external), blood work and 2 more urinalyses. All have been normal except US showed small3-4mm stone in one kidney and 3-4mm indeterminate, suggested angiomyolipoma, in other. Urologist ordered CT and started me on 50mg macrobid/day for month. Yesterday I had IV-contrast XXXXXXX CT. Last night took first macrobid. This morning, first urine yielded what looked like pea sized, dark brown mass with long, brown sinewy-like strings. I did not feel it, only saw it toilet. I assume it came out of urethra and not vagina, but I can't be sure. It is saturday and the urology office is closed. I'm not sure what this is, or what to do... I still feel uti discomfort. No better, no worse. What could this be? Is this "normal" for UTI? Should I go to urgicare center?
Brief Answer:
Kindly get urethroscopy/ cystoscopic examination
Detailed Answer:
Hi XXXX
Thank you for choosing Healthcaremagic. After analyzing your query the string like thing could have originated from the Urethra, as your previous gynaec examination was normal. You have already undergone many investigations and have already taken antibiotics, what I suggest you is to get a URETHROSCOPY & CYSTOSCOPIC EXAMINATION (in this a thin endoscopy tube is passed into the urethra till bladder , under visual guidance) to rule out any growth in the bladder or urethra. Kindly speak with your Urologist for this examination/ test. Also the string like thing can be sent for histopathological examination for further evaluation.
Your present treatment of NITROFURANTOIN is necessary for the treatment of UTI , this medicine also prevent any further episodes of UTI. Kindly continue your doctors advise.
Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I thought I had included in my list of tests the scope. That was done one month ago at the same time as the xrays and external ultrasounds. (The internal had been done two weeks prior). All the urologist said was that i had some inflammation/irritation in the bladder and urethra. That was when he put me on the Bactrim.
So... I should save the mass and take it to urologist on monday? Should I remove it from urine or leave it in the glass as it is? Is it possible that passing this was a good thing? My body and the antibiotics clearing out whatever is wrong?
Brief Answer:
As the scopy is normal,there is nothing serious
Detailed Answer:
HelloXXXX
Thank you for the follow up question. As the scopy is also normal, then I feel there is nothing serious to worry. Kindly do not worry, may be inflammatory mass could have come out. Coming back to your question:
I should save the mass and take it to urologist on monday? Yes, kindly show the mass to urologist.
Should I remove it from urine or leave it in the glass as it is? Ideally you need to save that mass in Formalin, but I doubt you have that. You can just save the mass in sterile water.
Is it possible that passing this was a good thing? My body and the antibiotics clearing out whatever is wrong? Yes it could be a possibility..
If you do not have any further clarification you can close the discussion. Kindly rate & review my answer. Wish you good health.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
