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what tests should I have done?

My prostate fluid showed, under a microscope, white blood cells and little
specks that one doctor thought was bacteria and another doctor thought was
lecithin.   A urine specimen from right after the doctor pushed out the
prostate fluid showed no growth after 2 days but it did show leukocyte
esterase positive.

I’ve been on Cipro, 1000mg daily, for 30 days with no real improvement and
another prostate fluid sample looked just the same (i.e. white blood cells
and specks) after finishing my course of Cipro.

1) What type of tests should I have done to determine the type of infection?
I’m already going to insist on a fungal culture thanks to some of your help,
but what other types of tests should I request that are different from that
first standard culture media urine test?  A quick-and-easy test obviously
isn’t helping to show my infection.  For instance, Chlamydia is a
possibility but what specific type of test and culture media do I want to
request?   Please don’t say the docs know, because they don’t.   I want to
get all possible tests done at once so I don’t have to repeat the process of
providing fluid.

2) What should be done with the fluid?  Should a drop be smeared on a plate
of whatever solid medium?  Or should it be applied to a swab or dropped into
a liquid medium or ????

This is very frustrating for me that the doctors don’t seem to know what
tests should be performed to determine the type of infection I have.
Therefore, your help is really appreciated so I can request specific tests
myself.

.
posted by admin in Uncategorized and have Comments (3)

3 Responses to “what tests should I have done?”

  1. admin says:

    Really, a urologist worth his salt WILL know what to run.  He needs to collect
    the right specimen and then the lab has protocols of what to do with the
    specimen after that.  That’s not something the patient needs to worry about.
    Chlamydia is not usually cultured, as it is a hard specimen to grow out.  There
    are at least three different methodologies out there, all with a collection kit
    that I’m sure most urologists keep on hand. (Methodologies include direct
    fluorescent antibody, Genprobe or Uriprobe to name a few, I’m sure there are
    other kits by competitors also available).  Why do you feel that YOU should be
    the one to request the testing?  It sounds like you’re frustrated with your
    doctor.  If that is the case, TELL HIM you’re frustrated and that you’re
    wondering about fungus, chlamydia, or other fastidious organisms and see what he
    says.  A good medical history from you will help him rule in or out certain
    pathogens, but you need to be honest regarding things like sexual activity and
    partners, etc.  Cipro also might not be the antibiotic of choice, and he may
    want to put you on something else.  PLEASE return to your physician, or a
    replacement.

    Judy Dilworth, M.T. (ASCP)
    Microbiology

    P.S.  Lecithin????  What’s up with that?  Either I’m totally out of it, or this
    sounds like alternative medicine…….why didn’t someone perform a gram
    stain?????  All you need is an air dried slide (rolled out so it’s not too
    think) sent to a laboratory.  They are able to stain it, read it, and send back
    a report!!!  Amazing what labs can do nowadays. (I’m also cross-posting this to
    sci.med.laboratory, where other techs that do what I do can see it!)

    need help please wrote:
    > My prostate fluid showed, under a microscope, white blood cells and little
    > specks that one doctor thought was bacteria and another doctor thought was
    > lecithin.   A urine specimen from right after the doctor pushed out the
    > prostate fluid showed no growth after 2 days but it did show leukocyte
    > esterase positive.

    I’ve been on Cipro, 1000mg daily, for 30 days with no real improvement and
    another prostate fluid sample looked just the same (i.e. white blood cells
    and specks) after finishing my course of Cipro.

    1) What type of tests should I have done to determine the type of infection?
    I’m already going to insist on a fungal culture thanks to some of your help,
    but what other types of tests should I request that are different from that
    first standard culture media urine test?  A quick-and-easy test obviously
    isn’t helping to show my infection.  For instance, Chlamydia is a
    possibility but what specific type of test and culture media do I want to
    request?   Please don’t say the docs know, because they don’t.   I want to
    get all possible tests done at once so I don’t have to repeat the process of
    providing fluid.

    2) What should be done with the fluid?  Should a drop be smeared on a plate
    of whatever solid medium?  Or should it be applied to a swab or dropped into
    a liquid medium or ????

    This is very frustrating for me that the doctors don’t seem to know what
    tests should be performed to determine the type of infection I have.
    Therefore, your help is really appreciated so I can request specific tests
    myself.

  2. admin says:

    Ureaplasma is also a possibility. But not every lab can culture this.
    But the most important is a urologist, who knows the difference between infections
    and other disorders.

    Loes

    - Hide quoted text — Show quoted text -

    Dilworth wrote:
    > Really, a urologist worth his salt WILL know what to run.  He needs to collect
    > the right specimen and then the lab has protocols of what to do with the
    > specimen after that.  That’s not something the patient needs to worry about.

  3. admin says:

    >need help please wrote:

    >> My prostate fluid showed, under a microscope, white blood cells and
    little
    >> specks that one doctor thought was bacteria and another doctor thought
    was
    >> lecithin.   A urine specimen from right after the doctor pushed out the
    >> prostate fluid showed no growth after 2 days but it did show leukocyte
    >> esterase positive.

    Maybe its just a chronic case of prostatitis and there is no bug to culture.

    >I’ve been on Cipro, 1000mg daily, for 30 days with no real improvement and
    >another prostate fluid sample looked just the same (i.e. white blood cells
    >and specks) after finishing my course of Cipro.

    A gram stain would have shown if the specks were bacteria or not.

    The Cipro should have killed everything in sight by now, including the good
    ones.

    I agree with everyone else so far.  Seek a good urologist.  There are other
    conditions besides infection.

    TJ

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