Haematuria

Haematuria

Haematuria implies presence of blood in the urine. It is a sign that should not be ignored. Cancers of the kidney or bladder, urinary tract stones  and urinary tract infections are common conditions causing haematuria.

Painful haematuria associated with loin or abdominal pain suggest passage of kidney stone or blood clots through the ureter (tubes that connect kidney to the bladder). Haematuria with proteinuria suggest medical diseases of the kidney. Asymptomatic haematuria must be regarded a symptom of bladder or kidney tumour until proven otherwise. Dilated veins at the bladder neck or prostate may also rupture while straining to urinate and result in gross or microscopic haematuria.

Because the bleeding has stopped, doesn't mean the underlying problem has resolved.

Please see your GP for further assessment.

I will always request urine for microscopy & culture, urine cytology and renal tract ultrasound for preliminary investigation. All patients with macroscopic haematuria without UTI must undergo Cystoscopy for evaluation. Small or flat bladder tumours are not always seen on ultrasound imaging.