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Urinary Disorders

Smelly Offensive Urine

05/19/2009

Question:

Have taken continual rotating antibiotics for for 22yrs+. Have a mitrofonoff. Still have continual bladder infections and other problems. Diagnosed with pyoderma gangrenosum and now on both oral and topical steroids. Urine normally smells yuk now offensive and embarressing and a nightmare if I need to pass urine when out. Smell lingers for hours. Could it be the steroids?

Answer:

Not likely to be the steroids, but chronic infection/inflammation caused by urine colonized with bacteria. I presume that urine cultures have been done but also evaluation of the bladder to be sure you do not have a stone or possibly developed a bladder diverticula.

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Response by:

Marc F Cymes, PA Marc F Cymes, PA
Clinical Instructor of Urology
School of Medicine
Case Western Reserve University