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urologyguru
urologyguru, Urologist MD
Category: Urology
Satisfied Customers: 1111
Experience:  I am fellowship-trained MD Urologist in active practice. I treat all types of cases from genital, cancer, urinary, stone and incontinence.
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Following recurrent pyelonephritis, I recently had a cystoscopy.

Customer Question

Hi
Following recurrent pyelonephritis, I recently had a cystoscopy. It's been found that I have cystitis cystica and my Urologist also said my kidney looked slightly abnormal but that he could find no growths. I have to add that I do not experience the usual UTI symptoms - no burning or pain on urination - no indication of infection until it reaches the kidney which is when I get really ill. Every time I have a urine test there is blood in my urine - whether there is infection or not. (I definitely don't have kidney stones) My Urologist is only focusing on my bladder (which has not worried me) not my kidney. He is placing me on a long term course of low grade antibiotics to try clear the bladder. I might add that my bladder also never empties properly. I would like to know whether I should be seeking a second opinion. I really do not want to end up in hospital with a kidney infection every few months which has been the case of late.
Thanking you in advance.
Submitted: 1 year ago.
Category: Urology
Expert:  urologyguru replied 1 year ago.
Hello! Thanks for allowing me to help you today. Please feel free to ask any follow up questions and positive feedback is much appreciated.
I agree with your urologists approach.
Kidney infections arise from the bladder. If your bladder is kept clean, then you will not get any kidney infections.
The changes that your doctor sees in the kidney may be from chronic bladder infections that have risen up to the kidney. Low dose antibiotics are a great way of keeping the urine sterile and allowing the bladder to heal and build up its natural defense mechanisms against bacteria.
I can additionally recommend urinary acidification with cranberry tablet supplementation. This'll make the urine more acid and bacteria will not live in this environment.
I hope this helps. Please ask any follow up questions you have until you feel satisfied with your answer. Positive ratings are much appreciated!
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