Leukocytes in urine in women

What is the rate of leukocytes in urine in women

The norms of leukocytes in the study of urine (general analysis) are slightly different in women compared to men. They allow 0 to 6 cells per field of view when examined under a microscope.

The determination is carried out in the urine sediment after it is passed through a centrifuge. The resulting precipitate is examined and the number of cells is counted. Today, the manual method of research is increasingly being replaced by an automated one. Then the indicators will be indicated in the line LEU. The standard values ​​for automatic detection are identical.

Causes of increased white blood cells in the urine in women

“An increase in leukocytes in the urine can be true and false,” says urologist Svetlana Kalininа. – The true cause is associated with inflammatory diseases of the urinary system (kidneys, bladder), and the false one is a symptom of inflammation in adjacent organs (reproductive system, intestines, etc.). The causes of leukocyturia can be physiological and pathological.

Physiological reasons:

• exorbitant physical activity;
• long-term use of penicillin antibiotics or non-steroidal anti-inflammatory drugs;
• frequent visits to saunas and baths;
• insufficient hygiene;
• delayed emptying of the bladder.

Pathological causes:

• inflammation of the urinary system;
• urolithiasis disease;
• diabetes;
• damage to the renal glomeruli (glomerulonephritis);
• systemic diseases;
• venereal and gynecological inflammatory diseases.

In each case, it is necessary to evaluate the level of leukocytes, along with other indicators and existing symptoms.

Table of leukocytes in urine in women

If an increase in leukocytes in the urine is detected, this is called leukocyturia. When more than 200 cells are found in the field of view, this is called pyuria (or pus in the urine). The type of process and its activity can be determined by the type of leukocytes detected. For this, there is a comparative table of leukocytes in the urine:

Treatment of leukocytes in urine in women

The presence of leukocytes in the urine is only a symptom that indicates the presence of various pathological processes in the urinary system or the body as a whole. Therefore, it is important to determine the true cause, and act on it in order to eliminate pathological processes.

Diagnostics

Leukocytes in the urine, if a woman passes the test, it is advisable to determine outside the period of menstruation (two days before or two days after), after washing the genitals with warm water and soap. Leukocytes are determined in the general analysis, along with other indicators.

If there is an increase in leukocytes, the analysis is repeated or clarifying studies are prescribed – a urine test according to Nechiporenko or Addis-Kakovsky, a daily urine test, a urine culture.

In addition, the doctor will prescribe instrumental studies that will identify problems with the urinary system – ultrasound of the kidneys and bladder, radiography, CT, cystoscopy and other procedures to determine the cause of leukocyturia.

Modern treatments

The leukocytes themselves in the urine do not treat in any way – this is a symptom of certain diseases. Therefore, all treatment will be directed to the elimination of diseases or conditions manifested by leukocyturia.

If these are acute inflammatory processes of the urinary tract caused by bacterial infections, antibiotics are used, which are selected taking into account the pathogen.

For non-communicable diseases, anti-inflammatory drugs, extra fluid intake, diet, and drugs are prescribed to address the underlying cause of the disease.

In surgical pathologies, an operation is recommended, the field of which is prescribed additional drugs for tissue repair.

Popular questions and answers

What norms of leukocytes in the urine are acceptable in women of mature age, how dangerous is leukocyturia and can it be treated with folk remedies, are antibiotics always needed, we asked urologist Svetlana Kalinina.