Urinary Issues: White Particles and Itching Concerns - Urology

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Urinary issues


Hello Doctor:
Q1: A few days ago, I noticed white particles in my urine that resemble the white foam of miso soup.
They are difficult to detect unless closely examined, and I do not experience any discomfort while urinating.
I have observed this twice, and it is not continuous.
Could you please tell me if there is any underlying issue?
Q2: I am unsure which specialty to consult for this issue.
I often feel itching in my pubic hair area, but I have not found any signs of lice or similar issues.
After researching online, I thought it might be due to excessive moisture, but even after dehumidifying, there has been no improvement.
What other possible causes could lead to this condition?

Xiao Mei, 20~29 year old female. Ask Date: 2023/02/15

Dr. Du Shixi reply Urology


Hello: Q1 A urinalysis should be performed to understand what the issue is.
Q2 A gynecological examination for females.
Wishing you good health.

Reply Date: 2023/02/15

More Info


When it comes to urinary issues, particularly the presence of white particles in urine and associated itching, there are several factors to consider. Let's address your questions one by one.

Q1: White Particles in Urine
The observation of white particles or a cloudy appearance in urine can be attributed to various causes. The presence of white particles may indicate the presence of substances such as mucus, crystals, or even bacteria. In some cases, it could be due to the presence of protein or fat, which can lead to a condition known as proteinuria. Proteinuria can be a sign of kidney issues, but it can also occur temporarily due to dehydration or strenuous exercise.

If the particles resemble foam, this could be due to the presence of protein in the urine, which can create a frothy appearance. However, if you are not experiencing any discomfort during urination and this occurrence is infrequent, it may not be a cause for immediate concern. Nevertheless, it is advisable to monitor the situation. If the white particles persist or if you start experiencing symptoms such as pain, burning sensation during urination, or changes in urinary frequency, it would be prudent to consult a healthcare professional for a thorough evaluation.

Q2: Itching in the Genital Area
The itching sensation in the genital area can be caused by a variety of factors. Common causes include:
1. Fungal Infections: Conditions like yeast infections can cause itching and discomfort. These infections are often characterized by a thick, white discharge and can occur in both men and women.

2. Bacterial Infections: Bacterial vaginosis or other bacterial infections can also lead to itching and unusual discharge.

3. Skin Conditions: Conditions such as eczema or psoriasis can affect the genital area and lead to itching.

4. Irritants: Certain soaps, detergents, or personal care products can irritate the skin and cause itching. It's important to use gentle, fragrance-free products in the genital area.

5. Allergic Reactions: Allergies to latex (from condoms) or other materials can also cause itching.

6. Poor Hygiene or Excess Moisture: As you mentioned, humidity can exacerbate itching. Keeping the area dry and clean is essential.

If you have already ruled out lice or other obvious causes, and if the itching persists despite your efforts to manage humidity, it may be beneficial to consult a dermatologist or a urologist. They can provide a more accurate diagnosis and recommend appropriate treatments, which may include antifungal creams, topical steroids, or other medications depending on the underlying cause.

In summary, while occasional white particles in urine and itching may not be serious, persistent symptoms warrant further investigation. Keeping a record of your symptoms, including any changes in your urinary habits or the nature of the itching, can be helpful for your healthcare provider. It is always better to err on the side of caution when it comes to health concerns, especially those involving the urinary and genital systems.

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