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Two-Glass Test. Prices, Reviews, Ratings

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The two-glass test involves collecting biological fluid, specifically urine, for clinical (general) analysis to assess the condition of the urinary tract and kidneys.
The two-glass test involves collecting biological fluid, specifically urine, for clinical (general) analysis to assess the condition of the urinary tract and kidneys.

General Information

Two biomaterial portions from a single urination are examined to detect organized and unorganized sediment and cylindruria.

Indications

Biomaterial is collected to determine pyuria’s presence and quantity for localization and to identify other urological conditions (inflammation, infections) via microscopic examination, turbidity analysis, and leukocyte counts in the second portion.

Since urine contains kidney metabolic products, it’s ideal for diagnosing urethral and adrenal issues. The two-glass test requires adherence to daily diuresis, collected in the morning when urine concentrates overnight, providing specialists with an objective picture.

Preparation for the Test

Genital hygiene is crucial for the two-glass test. Avoid soap or chemical products. Prepare a sterile container (up to 500 mL), available at pharmacies.

Deliver the sample to the lab within 1.5 hours; prolonged storage promotes unwanted microorganism growth, altering pH and destroying bilirubin and urobilin.

Transport at positive temperatures to prevent salt precipitation, which could be misinterpreted as disease or hinder analysis.

Avoid the following beforehand:

  • Medications – skew biochemical data;
  • Sweets – elevate grape glucose levels;
  • Excess fluids – dilute concentration;
  • Some vitamins/vegetables (e.g., carrots, beets) – alter color (orange, bright, brown, dark, red, etc.);
  • Spices, essential oil plants, onions – distort odor;
  • Alcohol – may skew two-glass test results by increasing protein and organic compound levels.

Avoid physical exertion and stress (elevate protein). Women should not test during menstruation to avoid bacteria and discharge contamination.

How the Test Is Conducted

Urination occurs in two stages (two containers). The first holds up to 50 mL; the second, the remainder. If unwanted samples are found only in the 50 mL container, it indicates urethral inflammation. If in the second, it suggests prostate or seminal vesicle involvement (in men). Gnostic presence in the two-glass test indicates pathology and damage.

Turnaround Time

Results reach the doctor days after collection. In some facilities offering the two-glass test, pricing may depend on result turnaround, reducible to one day.

Normal Values

Two-glass test norms should be:

  • Squamous epithelial cells: women – 1, men – 1-3;
  • Renal pelvis/ureter cells – none;
  • Red blood cells – men: none, women: 1 per sample;
  • White blood cells – women: up to 6, men: up to 3; children – girls: up to 6, boys: up to 4;
  • Clotted protein – singular.

Interpretation

Elevated bladder epithelial cells suggest cystitis or nephropathy; renal pelvis cells – inflammation or urethritis; blood – micro/macrohematuria or erythrocyte leakage in the urinary system. Elevated leukocytes indicate leukocyturia (up to 20) or pyuria (up to 60). Excess hyaline cylinders signal fever, renal issues, or proteinuria.

Special Considerations

The two-glass test is indicated monthly for pregnant women at various fetal development stages. Values align with norms, but late-detected issues may harm the fetus, requiring careful preparation.

Where to Get Tested

As a common procedure, finding a facility for the two-glass test is easy. Browse medical centers offering this service on our portal.

Prices and Labs

A desire to check one’s health may prompt a visit to a specialized lab. The two-glass test is available at many private and public centers. Costs are fixed, with private clinics 5-15% higher than public ones.

11 Feb 2024, 08:29
Tests

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