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Understanding Pus Cells in Urine Causes, Diagnosis and Treatment

Understanding Pus Cells in Urine

Pus cells in urine can be a concerning discovery for many. These floaters or cells referred to as white blood cells often show up in the urine because of infection, inflammation or in conditions that affect the urinary system. It is important to know what pus cells mean in terms of cause, diagnosis and management so as to have proper urological health. Dr. Saket Narnoli has shared ample information about this condition so that people who may be suffering from different symptoms due to this disorder can consult urologist and solve their problems on time.

What Are Pus Cells?

Pus cells are leukocytes, and these are white blood cells that are basic architectural features of the immune system of a human being. If there are pus cells in the urine then it can be said there is pyuria, which is a condition that indicates raised levels of such cells. The bacteria or the encouraging signs of pus cells in urine will make a statement of infection or inflammation of the urinary and renal system or the bladder. Besides, the cause has to be identified for further treatment to prevent complications because the right measure has to be implemented.

 Common Causes of Pus Cells in Urine

There are several Causes of Pus Cells in Urine. Understanding these causes can aid in identifying the underlying issue and seeking timely medical intervention.

  1. Urinary Tract Infections (UTIs):

    Any man or woman who has the symptoms of UTI has the strong potential of having pus cells when the urine sample is examined. What is also appreciated is that bacteria that accrete on the urinary tract increase infection rates and the presence of overt pus cells.

  2. Kidney Infections (Pyelonephritis):

    In case of no treatment or if the infection has moved to the kidney, the condition for urinary tract infection is pyelonephritis. This in turn can cause marked pus cells in the urinary deposits.

  3. Bladder Infections (Cystitis):

    UTIs cause pus cells because of the inflammation and infection and bladder infections are not an exception on this aspect.

  4. Sexually Transmitted Infections (STIs)

    Certain types of STIS such as chlamydia and gonorrhea findings of pus cells in Urine out come because genito-urinary tract and reproductive organs are infected.

  5. Prostatitis:

    The prostate gland inflammation thus results in pus cells in urine, antibiotic therapy, pelvic pain and all sorts of complications with urine upon reaching the male gender.

 Symptoms Accompanying Pus Cells in Urine

The presence of pus cells in urine is often accompanied by other symptoms, which can help in diagnosing the underlying condition. These symptoms may include:

Painful Urination:

Pain while urinating ornery is one of the general signs attributed to urinary tract infections and any condition that results to pus cells in urine.

Frequent Urination:

Such signs such as having to urinate more, but only passing small amounts of urine could be as a result of a urinary tract infection or a bladder infection.

Foul-Smelling Urine:

Well, you can always tell by smell whether the urine of your child is normal or if there might be a problem, for instance if the urine’s smell is very pungent this might indicate an infection.

Cloudy or Bloody Urine:

The pus cells may be seen in urine, which causes the urine to be cloudy in nature and besides this occasionally there is hematuria.

Pelvic Pain:

Pressure or discomfort in the low belly or pelvis area is experienced, in conditions such as interstitial cystitis or prostatitis.

Diagnosis of Pus Cells in Urine

Diagnosing the cause of pus cells in urine involves several steps and tests:

  1. Urinalysis:

    A type of preliminary assessment of diagnosis of pus cells in urine in which one analyzes a small portion of the urine issue acquired from the patient for indications of white blood cells, bacteria, and also other indications of anomalies. Regarding its application, this test is quite valuable for determining the presence of infection or inflammation.

  2. Urine Culture:

    In case of suspected infection, a urine culture looks at the bacteria that are present in the given sample and assists in advised treatment.

  3. Blood Tests:

    Blood tests could also be prescribed to the patient in a bid to diagnose any blood borne infections or inflammation.

  4. Imaging Tests:

    To make a diagnosis of the structural abnormalities that could be causing pain, an ultrasound, CT scans, or X-ray might be employed for demonstrative purposes when searching for the presence of kidney stones or tumors in the urinary tracts, kidneys or bladder.

  5. Cystoscopy:

    Another procedure that might be carried out is a cystoscopy in which a specially thin tube with a camera is passed through the urethra into the bladder in the search of any abnormality.

Treatment of Pus Cells in Urine

The Treatment of Pus Cells in Urine Depends on the cause that has precipitated this. Common treatments include:

  1. Antibiotics:

    They are used in many infections like bacteremia, cellulitis, consumptive coagulopathies, endocarditis, Lyme disease, osteomyelitis, peritonitis, pneumonia, pulmonary infections in cystic fibrosis, purulent arthritis, septic abortion, sepsis, soft tissue infections, synergistic necrotizing cellulitis, bacteremia, UTI, kidney infection, and some STI. The type and duration of the antibiotics depends on the bacteria found to be present in the people.

  2. Pain Relief:

    Holding an infection can be uncomfortable due to feelings of pain and fever among other symptoms and with the help of drugs found over the counter it is possible to manage these signs.

  3. Hydration:

    In order to avoid bacterial contamination and the subsequent symptoms, people should drink a lot of water to facilitate washing away of bacteria from the urinary system.

  4. Medications for Chronic Conditions:

    Some diseases like interstitial cystitis could be chronic and need the longstanding use of drugs for pain and inflammation in the bladder.

  5. Surgery:

    When dealing with cases of kidney stones or there are structural distortions, then surgical procedures may be performed with a view of removing the stones or rectifying the structures.


Thus, pus cells in urine even though suggesting infection can be caused by conditions of the tract and other related organs. Identifying possible risks and getting proper diagnosis and treatment at the early stages are important for men’s urological well-being. Another expert, Dr. Saket Narnoli also encourages that such problems should be solved without delay, as the existence of the basic disease itself sometimes makes it difficult for organs to cope with other problems.