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Urinalysis with Microscopic Examination of Sediment (Microscopic Urine Analysis)

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

This test examines your urine under a microscope to check for cells, crystals, bacteria, or other substances that may indicate infections, kidney issues, or other health problems.

Quick summary

["A microscopic urine check helps identify hidden problems in your urinary system or overall health."]

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

Key facts at a glance

LOINC
20453-7
Short code
Epi Cells UrnS Ql Micro
Synonyms
Epi Cells UrnS Ql Micro
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
microscopy-light
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Does the Microscopic Urine Sediment Test Look For?

Your urine sample is examined for various components, including red blood cells (hematuria), white blood cells (pyuria), bacteria (infection), crystals (kidney stones), casts (kidney or urinary tract damage), and other particles that may signal underlying conditions.

How Is This Test Performed?

A small amount of your urine is collected in a clean container. The sample is then sent to a lab where it is examined under a microscope by trained professionals to identify cells, crystals, or other abnormalities.

Why Might This Test Be Ordered?

Doctors may recommend this test to diagnose or monitor conditions like urinary tract infections, kidney disease, bladder infections, kidney stones, or to check for signs of systemic diseases affecting the urinary system.

What Are Common Findings?

Common findings include the presence of red blood cells (which may indicate bleeding in the urinary tract or kidneys), white blood cells (often linked to infections), bacteria (confirming a urinary tract infection), or crystals (potentially linked to kidney stones). Other findings may include casts, which can signal kidney damage or disease.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: This test plays a critical role in diagnosing and managing urinary tract infections, kidney diseases, and other conditions affecting the urinary system. Early detection of abnormalities can lead to timely treatment and better health outcomes.

Short name

Microscopic Urine Sediment

Frequently asked questions

What does a positive result mean?
A positive result means that your urine sample contains abnormal substances or cells that may indicate an infection, kidney issue, or other health concerns. Your healthcare provider will discuss the findings with you and may recommend further testing or treatment.
How often should I get this test?
The frequency of this test depends on your health condition and medical needs. Your doctor will determine if and how often you need this test based on your symptoms, medical history, and overall health status.
Can I prepare for this test in any way?
No special preparation is needed for this test. You may drink plenty of water before the test to ensure a well-diluted urine sample, but avoid excessive fluids if instructed by your doctor.
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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