Q: I am 31 years old female who underwent a total hysterectomy six months back due to ovarian tumor. I recently underwent a battery of tests and they came normal except I have 2+ occult blood (RBC 10-20/hpf) in the urine. I am asymptomatic. I had UTI after surgery and took Penicillin in January. No other medications after that. I had blood in the urine in January also. What is the reason behind RBC in urine?
A:Red Blood Cells (RBCs) in urine after a pelvic surgery like hysterectomy may result due to various reasons.
The patient after hysterectomy is kept on a draining catheter for couple of days. A foreign body like catheter may result in RBCs in urine for couple of weeks even in absence of infection
A urinary infection following colonization of catheter with bacteria may result in bleeding with urine
Bladder has to be dissected away from uterus during its removal. Handling of bladder or minor injuries to bladder during dissection may result in presence of blood in urine
Even after a complete recovery, a fresh urinary infection is not uncommon in females, with presence of bacteria and RBCs in urine
Your treating doctor would be able to reach the right conclusion and guide you after proper examination and necessary investigations.