Urinary Tract Issues: Foreign Object Insertion, Infection, and Fever - Urology

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It sounds like you're experiencing a complex set of symptoms related to your urinary tract, and I understand how concerning this can be. Let's break down your situation and address your questions systematically.

First, regarding the insertion of the suction catheter into your urinary tract, it is possible that this could have caused some trauma to the urethra or bladder. The presence of blood in your urine initially suggests that there may have been some injury. However, the fact that the bleeding stopped after a few days is a positive sign. The discomfort you felt during urination could be attributed to inflammation or irritation caused by the catheterization.

You mentioned that you underwent tests, including an ultrasound, blood tests, and urine cultures. The results showing a white blood cell count of 10.65 indicate some level of inflammation or infection, but the urine culture showing "No Growth in 3 days" suggests that no bacterial infection was detected at that time. This can happen for several reasons:
1. Sterile Inflammation: Sometimes, inflammation can occur without a bacterial infection. This could be due to irritation from the catheter or other non-infectious causes.

2. Antibiotic Treatment: If you were already on antibiotics when the culture was taken, this could suppress bacterial growth, leading to a negative culture result.

3. Non-bacterial Infection: There are other types of infections, such as viral or fungal infections, that may not be detected by standard bacterial cultures.

Regarding your persistent low-grade fever (37.3-38.6 degrees Celsius), it is essential to monitor this closely. A fever can indicate an ongoing infection or inflammation. Since you are experiencing fluctuating temperatures, it would be prudent to consult with a healthcare provider, especially if the fever persists or worsens. The recommendation to return to the hospital if you have a fever while on antibiotics is standard practice, as it could indicate that the treatment is not effective or that there is another underlying issue.

As for your concerns about potential damage to the bladder or prostate, while the insertion of a catheter can cause irritation or injury, significant damage is less common unless there was a pre-existing condition or improper technique. The symptoms you describe, such as a weaker urine stream and the sensation of incomplete emptying, could be related to inflammation or swelling of the urethra or prostate, particularly if there is ongoing irritation.

In terms of your current medications, Cefixime is a broad-spectrum antibiotic that is often used to treat urinary tract infections. If you are still experiencing discomfort, it may be worth discussing with your doctor whether a different antibiotic or additional treatment is necessary.
Finally, regarding whether to see an infectious disease specialist or return to urology, it may be beneficial to start with your urologist, as they can evaluate your urinary symptoms in the context of your fever. They may decide to perform additional tests, such as imaging studies or further cultures, to determine the cause of your symptoms.

In summary, it is crucial to keep an open line of communication with your healthcare provider about your symptoms, especially the fever and urinary issues. Do not hesitate to seek medical attention if your symptoms worsen or if you have concerns about your treatment. Your health and comfort are paramount, and addressing these issues promptly can help prevent further complications.