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Hello sir. From past few months i have burning in urine and took antibiotics to overcome it. But still some kind of unknown infection in my urine still exist. I went to Nephrologist who advised me to have an ultrasound kub. Its report says Urinary Bladder shows moving echoes in it suggestive of cystitis. What does it means ? Please help me out. What kind of infection it could be ? Aur what does it means by cystitis? What could be the possible treatments?Hope to receive a detailed reply from you. Thanku :)""

Answer
It is all about the urine.  A KUB tells you absolutely nothing unless a bladder stone happens to be seen (very rare).  An ultrasound is NOT an appropriate test to evaluate the bladder for infection/cystitis.   When a man (or woman) has burning with urination, the next step is not to give antibiotics just because there is burning.  Then next step is to first check the urine with a urinalysis (and if a urine infection is suggested, a urine culture).  This is the best and appropriate test to diagnose a urine infection.  Then, if an infection is noted, antibiotics are given and testing may be indicated after treatment to look for an underlying cause.  Your question never mentions that a urinalysis was ever done.  You say an unknown infection still exists, but that does not make sense to me. If a urinalysis suggests an infection, it can be sent to a laboratory for a "culture" a test that identifies the bacteria, and what antibiotics effectively treat the infection.  I am at a disadvantage as l am not able to have an in-person discussion with you or examine you or look at your urine, but I hope this information was helpful.  Best of luck!

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Joel Gelman, M.D.

Expertise

Urethral Stricture Disease, Peyronie's Disease and disorders of penile curvature, Erectile Dysfunction with a focus on penile implant surgery, Male Incontinence, Hypospadias

Experience

Dr. Gelman is a Board Certified Fellowship Trained expert in Male Reconstructive Urology and the Director of the Center for Reconstructive Urology in the Department of Urology at UC, Irvine Medical Center.

Organizations
American Urologic Association Society of GU Reconstructive Surgeons (Board of Directors) International Sexual Medicine Society Western Section, Americal Urological Association

Publications
Journal of Urology Urology Journal of Endourology

Education/Credentials
Residency in Urology, UCLA, completed 1995 Fellowship in GU Reconstruction, Devine Center, completed 1997

Past/Present Clients
The Center for Reconstructive Urology is a regional, national, and international Tertiary Referral Center for urethral stricture disease, penile curvature, erectile dysfunction, male incontinence, and other surgical disorders of the male urethra and penis. Patients have travelled from 24 different states and other countries to receive care at the Center for Reconstructive Urology. More information can be found at http://www.centerforreconstructiveurology.org

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