Is it serious if a woman has 10 white blood cells in her urine?

Abnormal white blood cells in the urine of female friends will make patients feel very nervous. In fact, this situation can be cured well as long as regular follow-up examinations are done and no clinical manifestations appear. In addition, the cause of the disease needs to be identified first. The reason why some female friends have this phenomenon is still closely related to stones or inflammatory changes, which cause urinary stones.

It is more common in urinary tract infectious diseases, but can also be caused by non-infectious diseases of the urinary tract and infectious diseases of adjacent tissues.

Urogenital system diseases

1. Kidney diseases: pyelonephritis, pyonephrosis, renal abscess, renal tuberculosis, kidney stone infection, glomerular disease, tubulointerstitial disease.

2. Ureteral diseases: inflammation, stones, and tumors.

3. Bladder diseases: inflammation, stones, tumors, foreign bodies.

4. Urinary tract diseases: inflammation, stones, tumors, foreign bodies, paraurethral gland inflammation or abscess.

5. Prostate diseases: inflammation, abscess, tumor.

6. Seminal vesicle diseases: inflammation, abscess.

Disease of adjacent tissues or organs

Perinephric inflammation or abscess, periureteric inflammation or abscess, appendiceal abscess, fallopian tube or ovarian inflammation or abscess, colon or pelvic abscess.

Is it true leukocyturia?

Pseudo-leukocyturia is caused by purulent secretions from female leucorrhea or other suppurative diseases (such as vaginitis, anal fistula, perineal abscess or furuncle, etc.) contaminating urine or improper collection of urine specimens. Care should be taken to clean the vulva before collecting specimens and collect midstream urine. Catheterization or bladder puncture to obtain specimens can avoid false positives.

Determine the location and nature of leukocyturia

Through medical history and physical examination, lesions of organs adjacent to the urinary system are excluded first. In addition to causing leukocyturia, these lesions also have their own characteristics. For example, perirenal inflammation or abscess may have symptoms of systemic infection and poisoning, accompanied by obvious low back pain, lumbar muscle tension, and imaging findings of perinephric abscess shadows.

If there is no lesion in adjacent organs, the urinary system disease itself should be considered as the cause, most of which are urinary tract infections. Medical history, physical examination, etiology and imaging examinations can help distinguish between upper and lower urinary tract infections and further clarify whether it is a specific infection or a nonspecific infection.

For leukocyturia with no urinary tract irritation symptoms and negative etiology, the possibility of active glomerulonephritis and interstitial nephritis should be considered. Urine leukocyte differential examination helps determine the cause. [1]