Presence of sperms in female urine sediment,is it reportable?

Question

I work in a clinical laboratory in " urine analysis " department.I would like to know if I find any sperm in female's urine,will it be important to report? and will it be a sighn of any disorder or just it shows an previouse intercourse?! will it help doctor to recognize anything?
please help me.

Answer 1

I write a lot of laboratory procedures. We report everything seen on a microscopic UA; however, the presence of spermatozoa in the urine of a consenting adult female is considered to be normal. Since the laboratory has no knowledge of the patient's circumstances (i.e., rape, incest, mental or physical incapacity), it is up to the ordering physician to evaluate the significance of all findings when treating his patient. Since the reporting of spermatozoa is part of the urinalysis order/test, it would be inappropriate to withold any information regarding their presence. A laboratory should not refrain from reporting something just because it is considered to be a normal finding.

You should refer to your laboratory's microscopic urinalysis procedure to see what it says and follow it. Sometimes the hospital medical staff will dictate what will be reported on a urinalysis and their wishes will be incorporated into the procedure.

Answer 2

I work in an Emergency Room and seen a few cases where the presence of sperm in a patients urine led us to file CPS or APS reports. When you recieve a specimen into the lab, you get no medical history with it. In the cases I have seen, the patients were both mentally incapacitated. Therefor, not choosing to have intercourse. In my opinion, this result should always be reported. It is up to the physician to decide what is relevant and what isn't. If it is irrelevant, it will be ignored by the physician. In some cases, I know, it has given a voice to people who weren't able to speak for and protect themselves. I know it's a rarity......but it happens.

Answer 3

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It's possible to find sperm in the urine of male patients with retrograde ejaculation- wherein the muscle sphincter or ring of muscle do not contract enough to prevent the backflow of sperm during ejaculation to backup to the bladder. Also, it's perfectly normal to have sperm in the female urine if intercourse activity was most recent. This is accomplished by sperm getting mixed in the urine should she gets up immediately after sex to void. The sperm most likely were at the external genitalia. The life of sperm can usually last from 48- 72 hrs. The seminal vesicles and prostrate gland add secretions to the sperm to provide energy for them to be able to move as well as serve as a neutralizing chemical that reduces vaginal acidity. Unless, in the cases of rape, there is no reason to fret over evidence of sperm in female urine.

Answer 4

There is no need to report that unless until you are specifically asked to do so. Since you are not working in a forensic lab this observation is not significant, even though you can make out the patient had intercourse in last 48 hours.

Answer 5

I also work in a lab and have talked to other lab techs about this. Our policy, and theirs, is to never report sperm in a woman's urine. There's only one way it could get there and it's not pathologically significant.

Answer 6

I am surprised at previous answers. I think it is wrong to omit what you see. You are a technician, a very important position in medical diagnosis, but you are not a guardian of public or private mores.

By the same token, you are morally (and perhaps legally) obligated to keep your mouth shut about your findings. Blabbing your findings to other techs in the lab, or to other unconcerned parties is simply wrong.

Answer 7

It should be reported, however all it indicates as you have already said, is that the female patient has had intercourse in the last 24 hours...

Answer 8

Sperm In Urinalysis

Answer 9

No need to report

Answer 10

We ignore it, but it does get listed as present on the lab sheet.