Leukocytes in urine in women and men, the rate and reasons for the increase

Often, an excess of leukocytes is found in the analysis of urine. What does this indicator signal to us?

The main function of leukocytes

Leukocytes are the guardians of our health, a structural element of immunity. They vigilantly watch that alien agents do not invade the territory entrusted to them and do not begin their destructive activities.

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Leukocytes – white blood cells, with blood flow, through vessels and capillaries, are transported throughout the body in order to catch and destroy the lurking enemy in time. Such enemies can be microorganisms, viruses, cancer cells, fungi, antigens of various nature. When there is too much of a foreign agent, it begins a massive attack by white blood cells – leukocytes, which leads to an inflammatory process in the organ. If the urinary system is involved in this process, white blood cells appear in the urine. This is already a signal of a malfunction in the system.

Exceeding the normative value of leukocytes in urine is called leukocyturia. If the inflammatory process proceeds violently and there are too many leukocytes, the urine becomes cloudy, with flakes and threads visible to the naked eye, then we can talk about a purulent course of the disease, which is called pyuria.

White blood cell count

Norm indicators are applied differentially for each type of samples. Normally, urine contains a single number of sentinel leukocytes, which control the homeostasis of organs. Men have fewer such cells. In women, those leukocytes that control the genitals can also enter the urine.

  • According to the general analysis, the norm of leukocytes in the urine for men is 0-3 units in the field of view, for women – 0-6 units in the field of view (in pregnant women this rate rises to 10).
  • In the sample according to Nechiporenko, the norm for adults is 2000 cells per 1 ml of urine sediment.
  • In the Amburge test, the standard value is considered to be an indicator of up to 2000 leukocyte cells per 1 ml.


To detect leukocytes in urine, the following studies are used:

  • General clinical analysis – collected in the morning, the most simple and accessible, but not the most informative.
  • Test according to Nechiporenko – the number of leukocytes in 1 ml of morning urine is counted.
  • The Stansfield-Webb test is performed with a limited amount of urine sampled from the renal pelvis.
  • The Amburge test is carried out in 10 ml of urine for the uniform components of blood, including leukocytes, collected within three hours.
  • Kakovsky-Addis test – the analysis is carried out from the average daily urine sample.

The last two studies are necessary to detect latent leukocyturia or in cases where multiple analysis shows significant instability in this indicator.

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In addition, latent leukocyturia is determined using a prednisolone test.

In order for the urinalysis to be accurate, the following procedures must be followed:

  • The sample container must be sterile.
  • Before taking a sample, carry out hygiene procedures for the external genital organs.
  • The selection process is divided into three stages: the first portion of urine washes away the remaining microflora and is flushed down the toilet, the second goes into a sterile jar, the third is flushed down the toilet.
  • Sample delivery time should not exceed two hours.

    Types of leukocyturia

    Leukocyturia can be true, as a consequence of the ongoing disease of the urinary system, and false when leukocytes from the genital tract enter the urine (for example, with vulvovaginitis in women and balanoposthitis in men).

    There are also infectious leukocyturia, caused by various microorganisms, and non-infectious, arising from autoimmune and allergic diseases.


    When the first signs of leukocyturia appear, you cannot start self-medication and drink antibiotics uncontrollably. This can only muffle the spread of pathogenic microflora, damage your immune system and beneficial intestinal microflora. An earlier visit to a doctor and a timely diagnosis will help prevent the development of pathology.

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    As a rule, for diseases of the genitourinary system, complex treatment is carried out, including antibiotic therapy, immunomodulators and diuretics. After a comprehensive examination and establishment of the infectious nature of the disease, it is necessary to conduct a study for sensitivity to antibiotics, which will show which drug this infectious agent is most sensitive to. This analysis will help you choose the most effective antibiotic.


    During the treatment period, it is very important to reduce the load on the urinary system. This requires strict adherence to the diet. Since the main load on the kidneys is given by ammonia, a product of the breakdown of protein food, in the acute period of the disease, the amount of food containing protein (meat, fish, eggs, dairy products) should be reduced. In the future, preference should be given to lean meats (chicken, veal, turkey, rabbit), fish.

    The main method of heat treatment in the acute period of the disease is boiling or steaming; baking is acceptable in the future. It is necessary to exclude from the diet jellied meat, thick rich broth, jelly, brawn, containing a significant amount of extractive substances and causing irritation of the urinary tract mucosa. During this period, it is also not recommended to eat smoked, fatty, spicy, salty foods. It is imperative that the diet contains foods containing ascorbic acid and B vitamins (vegetables, cereals, fruits, nuts).


    Simple and affordable prevention measures can significantly reduce the incidence of urinary tract disease.

    The main point is to increase the body’s immunity. It can be strengthened by simple hardening, as well as drugs – immunomodulators for the formation of non-specific immunity. Good results are obtained by using tincture of lemongrass, ginseng root, eleutherococcus.

    The diet must be balanced in terms of proteins, fats and carbohydrates, not to exclude animal products from it. The essential amino acids present in these foods are the building blocks of our immunity. Food should be sufficient in terms of vitamin and microelement composition, calorie content.

    Compliance with the daily regimen, good sleep also helps to strengthen the immune system.

    Correct selection of seasonal clothing plays an important role in prevention. It is necessary to prevent hypothermia in the winter and off-season, and overheating in the summer.

    It is necessary to observe hygiene, including the external genital organs.

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    Svetlana Borszavich

    General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
    Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
    The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
    The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.