Thank you for your question.
I am sorry to hear about your problem.
The "inordinate" proliferation of epithelial tissue does not necessarily mean that there is an infection.
For an infection we require multiple white blood cells in the urine, positive nitrite test, and preferably a positive urine culture report.
If this is not the case, then this is unlikely to be an infection.
Let me know if you have more questions.
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Thank you for your detailed response.
Actually the excessive proliferation of the epithelial tissue is something that happens very commonly in people who have a suprapubic catheter in for such a long period of time.
This is usually due to the irritation that is caused by the catheter which leads to proliferation of the epithelial tissue in the urinary bladder.
This usually does not indicate infection.
However, if there is a superadded infection as well, that can cause more epithelial cell proliferation.