the Duration and Effects of Urokinase Capsules in Urology - Urology

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How long should I take Urokinase capsules? I went to see a urologist due to hematuria and painful urination, and the doctor prescribed antibiotics for six days.
During my follow-up visit today, an ultrasound confirmed there were no stones, but the doctor prescribed another seven days of antibiotics, stating that it would help eliminate the bacteria more thoroughly.
I am scheduled for a follow-up urine test in seven days.
Given that my current condition seems normal, do I still need to continue taking antibiotics? Could taking too many Urokinase capsules lead to other side effects? Generally, how long should an antibiotic course last? Also, I have another question: why does my urine appear oily? Thank you for your response, doctor.

H, 30~39 year old female. Ask Date: 2017/06/02

Dr. Du Shixi reply Urology


Hello: 1) If you experience episodes several times a year, you may need to take medication for up to two weeks.
If it's your first episode and you have no symptoms, you can return for a urine test to confirm that everything is fine before stopping the medication (therefore, individuals who do not have frequent episodes can take the medication for a shorter duration).
Sometimes, the absence of symptoms does not mean there are no issues, as the presence of hematuria necessitates a follow-up urine test.
2) If the urine test shows no abnormalities --> if the urine appears oily, there is no problem.
3) Taking too many Urokinase capsules may cause other side effects (clinically, side effects are rare).
It is important to drink plenty of water, avoid alcoholic beverages and spicy foods, and do not hold urine for too long.
At least two weeks should pass; some individuals may have normal urine tests but may experience a recurrence in the short term if they do not pay attention to their lifestyle.
Wishing you good health.

Reply Date: 2017/06/02

More Info


Urokinase capsules, known in some regions as "Urokinase," are typically used in urology for various conditions, including urinary tract infections (UTIs) and other related issues. The duration of antibiotic treatment can vary based on the specific condition being treated, the severity of the infection, and the patient's overall health. In your case, it seems that your doctor has prescribed a course of antibiotics for six days initially, followed by an additional seven days to ensure that any remaining bacteria are effectively eliminated.

Antibiotics are generally prescribed for a duration that is sufficient to clear the infection, which can range from a few days to several weeks, depending on the type of infection. For uncomplicated UTIs, a typical course of antibiotics may last from three to seven days. However, in cases where the infection is more complicated or if there are underlying health issues, a longer course may be necessary. Your doctor’s decision to extend the treatment to a total of 13 days suggests that they are taking a cautious approach to ensure complete eradication of the infection.

Regarding your question about whether you still need to take antibiotics if your condition seems normal, it is essential to follow your doctor's advice. Even if you feel better, it is crucial to complete the full course of antibiotics as prescribed. Stopping antibiotics prematurely can lead to the survival of some bacteria, which may then develop resistance to the medication, making future infections harder to treat.

As for the potential side effects of taking Urokinase or any antibiotic, common side effects can include gastrointestinal issues such as nausea, diarrhea, and abdominal discomfort. More severe side effects, although less common, can include allergic reactions, liver enzyme elevations, and changes in blood counts. It is important to monitor for any unusual symptoms and report them to your healthcare provider.

Regarding your observation of "oily" urine, this can be attributed to several factors. One possibility is the presence of excess fat or protein in the urine, which can occur due to various conditions, including kidney issues or dietary factors. It could also be related to the medications you are taking, as some antibiotics can alter the composition of urine. If this symptom persists or is accompanied by other concerning signs, such as changes in color, odor, or consistency, it is advisable to discuss this with your doctor.

In summary, it is crucial to complete the prescribed course of antibiotics, even if you feel better. Monitor for any side effects and report them to your healthcare provider. If you have any concerns about your symptoms or the appearance of your urine, do not hesitate to reach out to your doctor for further evaluation. They can provide you with the most accurate information based on your specific health situation.

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