QuestionQUESTION: Hi, I am a 20 year old female who has been experiencing the urgent and frequent need to urinate for more than 2 years.I am not in pain in my pelvic/bladder area. I just feel a weird pressure on my urethra. The only extreme pain I feel is the first two days of my menstrual cycle. I have never been in a physical relationship.
Well, my PCP sent me for an abdominal/pelvic Retroperitoneal Sonogram with color and spectral doppler analysis on 12/02/2012. All the results were normal except:
they found moderate hydronephrosis on my right kidney.
urinary bladder mild post void residual, 39cc.
Then on 01/11/2012 I was sent for an abdominal/pelvic CT Scan by my Urologist.
(multi detector CT 5 mm slice thickness contiguous axial images reconstructed)
Everything appeared normal except:
There is a calcified granuloma of the spleen 5mm. WHAT DOES THIS MEAN?
There is a 5 x 4 mm irregular calculus overlying the liver compatible with
a hepatic granuloma. WHAT DOES THIS MEAN?
It also said there is mild levoscoliosis?
My urine culture, routine on 01/09/2012 :Final, multiple organisms present, each
less than 10,000 CFU/mL. These organisms, commonly found on external and
internal genitalia, are considered to be colonizers. No further testing
performed. This is the third time ( in one year) my urine analysis has had this result. Could this mean I have a chronic low grade UTI that has been causing my frequent urination for the past few years? I am always tired.
I have a follow up appointment with my Urologist in 2 weeks. Since the CT Scan
did not show any hydronephrosis does this mean my right kidney is normal, free
of hydronephrosis after all?
I am very grateful for any light that you can shed on any of these findings.
Maria
ANSWER: calc granuloma of the spleen/liver... don't worry about it... you have had it for a long time... and will have it forever... it is a scar on the organ that just doesn't matter.
Levoscoliosis... the bones in the spine have a leftward curvature... if you didn't know it already, you have very mild scoliosis... but that doesn't matter either.
The cultures are negative... those are not significant.
I would screen you for chlamydia/gonorrhea if you haven't been already although those will prob be negative, then you will have to have a cystoscope by the urologist, maybe looking for interstitial cystitis...... The hydroneph doesn't matter since it was gone on subsequent study.
I hope this helps
---------- FOLLOW-UP ----------
QUESTION: Hi Robert,
Thank you for your kindness in getting back to me so quickly. I hope you don't mind I have a few more questions?
Why the possible chlamidia/ gonorrhea test since I am a virgin, I've never had any sexual encounter with anyone.
Also, I thought the CT Scan or ultrasound would have seen any problem with the urethra or bladder since my abdomen and pelvic area were scanned. By the way, could there be stones somewhere in my urinary tract area that the two tests may have missed that may be causing my condition?
Might the very mild levoscoliosis bother me in my old age? Can it be corrected?
If it turns out I do have interstitial cystitis,is there a cure? Can it resolve itself at some point? Are there foods, lifestyle changes I could make to help improve things along?
Sometimes I think maybe I have over active bladder?
Could I have diabetes, even though my blood test and urine test did not indicate high glucose level?
Sorry for bombarding you with all these questions.Thank you once again for all your help. You are truly considerate for providing this service to people like me. Maria
Answerwell, if you have never had sexual contact (even some short of sexual intercourse) then no worries about chlam/gonorrhea.
The CT and US are not perfect tests.... they re pretty good at looking for stones, but could miss a very small one, but that is not likely without blood in the urine.
scoliosis.... you aren't having problems.... don't even think about surgery.... that would cause more problems than it could even possibly hope to correct in old age.... since it is mild, it will never bother you.
Interstitial cystitis (IC) no cure, but very treatable to relieve symptoms... it tends to wax and wane... nothing I know about as far as foods/lifestyle changes.
overactive bladder-possibility--- there are meds for it but make sure it isn't one of the other problems first.
No on the diabetes.
Hope this helps........
