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Kidney Urine Microscopic Examination (Routine Urinalysis with Cellular Evaluation)

Published: August 9, 2026Updated: August 16, 2026

This test examines your urine under a microscope to check for cells, bacteria, crystals, or other substances that may indicate kidney or urinary tract health. It helps identify issues like infections, kidney stones, or inflammation.

Quick summary

["A microscopic urine check can reveal hidden problems in your urinary system."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
88323-1
Short code
CT Guided Kidney-R Bx
Synonyms
CT Guided Kidney-R Bx
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you have symptoms like frequent urination, pain while urinating, blood in urine, or unexplained weight changes. It’s also used during pregnancy, before surgeries, or as part of routine health checks to monitor kidney function.

What to Expect During the Test

You’ll collect a urine sample in a clean container, typically at home or during a clinic visit. The sample is then sent to a lab where it’s examined under a microscope by trained professionals.

Common Findings and Their Meanings

Red blood cells, white blood cells, or bacteria in urine may signal infections or kidney damage. Crystals could indicate kidney stones or metabolic issues. Casts (tubular structures) may suggest kidney disease or glomerular problems.

Preparation and Tips

No special preparation is needed, but ensure your urine is fresh. Avoid excessive alcohol, caffeine, or strong dyes (like food coloring) before testing. Clean the genital area before urinating to avoid contamination.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is critical for diagnosing urinary tract infections, kidney diseases, diabetes, or other conditions affecting fluid balance and kidney function. Early detection can lead to timely treatment and better outcomes.

Short name

Urine Microscopy

Frequently asked questions

What does a positive result mean?
A positive result means your urine contains abnormal substances or cells that may signal an infection, inflammation, or structural issue in your urinary system. Your doctor will discuss findings with you and may recommend further testing if needed.
How often should I get this test?
The frequency depends on your health status. Routine checks may be recommended every few years for adults without symptoms, while those with kidney issues or chronic conditions may need more frequent tests.
Can I drink water before the test?
Yes, drinking water helps dilute urine and may make it easier to detect abnormalities, but avoid excessive fluid intake just before testing to ensure a representative sample.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy