Your Urine Test Results: What to Do Next? - Urology

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Inquiry about laboratory test report?


Hello, doctor.
I am a gay man and I have phimosis, but I can retract the foreskin completely when erect.
I would like to confirm if I just need to enhance my hygiene and maintain a light diet, as I have no symptoms.
Do I need to seek medical attention? This is my report from the testing facility: https://i.imgur.com/ibmHzZx.jpg.
I would like to inquire about the urine test results, which show positive for Candida albicans and Gardnerella vaginalis.
I asked the laboratory technician, and they mentioned that I should seek medical attention only if I have symptoms.
Thank you.

Niming, 20~29 year old female. Ask Date: 2021/09/29

Dr. Du Shixi reply Urology


Hello: I am a gay man and I have phimosis, but the foreskin can retract completely when erect.
I pay attention to hygiene and keep it dry.
This is my report from the testing facility: https://i.imgur.com/ibmHzZx.jpg.
I would like to inquire about the urine test results, which show positive for Candida albicans and Gardnerella vaginalis.
I asked the medical technician at the testing facility, and they advised that if I have symptoms, I should seek medical attention.
However, I feel that your report does not resemble a typical report, so I recommend getting tested again at a medical institution.
Wishing you good health.

Reply Date: 2021/09/29

More Info


When interpreting urine test results, it is essential to understand the implications of various findings and how they relate to your overall health. In your case, you mentioned that both Candida (yeast) and Gardnerella (a type of bacteria associated with bacterial vaginosis) were positive in your urine test. While you report no symptoms, it is still important to consider the potential significance of these results.


Understanding Your Results
1. Positive Candida: The presence of Candida in urine can indicate a yeast infection, which may not always present with symptoms. In some cases, it can be a benign finding, especially if you are asymptomatic. However, if you experience symptoms such as itching, burning, or unusual discharge, it would be prudent to seek medical attention.

2. Positive Gardnerella: Gardnerella vaginalis is commonly associated with bacterial vaginosis (BV), a condition that can occur when there is an imbalance in the normal bacterial flora of the vagina. Like Candida, Gardnerella may not always cause symptoms, but it can lead to complications if left untreated, particularly in individuals who are pregnant or have other underlying health conditions.


Recommendations
- Monitor Symptoms: Since you currently have no symptoms, it may not be necessary to seek immediate treatment. However, you should monitor for any changes, such as unusual discharge, odor, or discomfort. If any symptoms develop, it would be wise to consult a healthcare provider.

- Hygiene Practices: Maintaining good hygiene is crucial, especially for individuals with conditions like phimosis (a condition where the foreskin cannot be fully retracted). Regular cleaning with mild soap and water can help prevent infections. Avoid using harsh soaps or douches, as these can disrupt the natural flora.

- Diet and Lifestyle: A balanced diet and adequate hydration can support your immune system and overall health. While a "light diet" is generally beneficial, ensure you are getting enough nutrients to maintain your health.

- Follow-Up Testing: If you remain asymptomatic but are concerned about the positive findings, consider scheduling a follow-up urine test in a few weeks. This can help determine if the presence of Candida and Gardnerella persists or resolves on its own.

- Consult a Specialist: If you have ongoing concerns or if symptoms arise, it would be beneficial to consult a urologist or a healthcare provider specializing in sexual health. They can provide a more comprehensive evaluation and recommend appropriate treatment if necessary.


Conclusion
In summary, while the presence of Candida and Gardnerella in your urine test is noteworthy, the absence of symptoms suggests that immediate treatment may not be necessary. However, maintaining good hygiene, monitoring for any changes, and considering follow-up testing are all prudent steps. If symptoms do develop or if you have further concerns, do not hesitate to seek medical advice. Your health and well-being are paramount, and proactive management is key to preventing potential complications.

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