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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain While Urinating With Blood. Urinalysis Shows Many Pus Cells, Protein, Albumin Present. Meaning?

Hi Dr. I can no longer wait to see my OB by Tuesday. Will you please help me to interpret the result of my TVS. I'm suffering from severe pain everytime I urinate & there's a blood on it. I thought it was an ordinary UTI. Here's the results: Normal sized anteverted uterus w/ prominent and dilated parametrial vessels. 4.55 x 4.31 x 4.67 cm. Hyperechoic endometrium, thin, 084 cm. Secretory phase endometrium. Cervix, 2.30 x 2.58 x 2.15 cm w/ (-) Nabothian cyst seen. Right ovary 4.38 x 2.97 x 4.02 cm lateral to the uterus. Within is a cystic structure, thickwalled, unilocular w/ crenated borders & reticular echoes measuring 3.01 x 2.45 cm suggestive of corpus luteum cyst versus endometrial cyst. Left ovary, 2.29 x 120 x 1.83 cm, lateral to the uterus, w/ few follicles. Others, minimal free fluid in the posterior cul-de-sac. Pelvic congestion.
I have here the result of my urinalysis. >100 puss cells. Protein & albumin is present.
Will you please help me. Thank you so much & more power to you. God bless...
Thu, 5 Sep 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
The size of uterus is small ,while endometrium thickness is 8.4 mm in opinion although you mentioned 084 cm , that is not possible .
Left ovary is somewhat small in size while right is normal .
On the right side there is a CYST call as ovarian cyst.
Few follicles present on the left side ,so if they attain maturity ( 19-20 mm ) and burst and liberate ovum you can get pregnancy.
The most dangerous problem and cause of concern is Pus cells in URINE >100 .
Further worse is protein & albumin present in urine analysis.
Get in blood for Serum creatinine level that is most important for you .
Ultrasound of urinary system and urine culture & sensitivity will help in diagnosis and treatment , so consult a nephrologist and get his opinion
Hope I have answered your question.
If further any question I will reply.
Good luck.
Dr. HET
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Severe Pain While Urinating With Blood. Urinalysis Shows Many Pus Cells, Protein, Albumin Present. Meaning?

Hello, Thanks for the query to H.C.M. Forum. The size of uterus is small ,while endometrium thickness is 8.4 mm in opinion although you mentioned 084 cm , that is not possible . Left ovary is somewhat small in size while right is normal . On the right side there is a CYST call as ovarian cyst. Few follicles present on the left side ,so if they attain maturity ( 19-20 mm ) and burst and liberate ovum you can get pregnancy. The most dangerous problem and cause of concern is Pus cells in URINE 100 . Further worse is protein & albumin present in urine analysis. Get in blood for Serum creatinine level that is most important for you . Ultrasound of urinary system and urine culture & sensitivity will help in diagnosis and treatment , so consult a nephrologist and get his opinion Hope I have answered your question. If further any question I will reply. Good luck. Dr. HET