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Glamorgan Urology: Haematuria

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Clinics

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Content:

Haematuria

Haematuria: blood in urine / semen

Assessment

Blood may be seen in your urine (visible or macroscopic haematuria) or only picked up on dipstick testing (non-visible or microscopic haematuria) of a sample. A small number of patients have a serious cause for the blood and it is important to investigate all patients thoroughly to exclude such a problem. Causes may include urinary infection, a kidney stone / ureteric stone in the urinary tract and also cancer (bladder cancer, kidney cancer or prostate cancer).

We try and combine your initial consultation with a group of basic examinations in the one visit whenever feasible in order to relieve anxiety and reach a diagnosis as promptly as possible.

Common Questions

What can I expect at my haematuria visit?

Following consultation you will need physical examination and blood pressure measurement. This include prostate examination for men (digital rectal examination DRE), female pelvic examination will be required but is usually performed at the time of a flexible cystoscopy. You will also be asked to provide blood tests to check you kidney function. Men will be offered a PSA check. You also need to give a urine sample which will be sent for analysis - urine culture and urine cytology or NMP22. The final initial test is to look at the bladder and kidneys using an ultrasound scan. Other tests that are occasionally needed may include IVU or a CT scan.

What are the causes of haematuria?

Encouragingly the commonest outcome of haematuria assessment is that we do not find a source of the bleeding. However, the tests that you will have had will hopefully reassure you that they were no sinister causes It is very important however that you report to your GP if you see further blood in your urine. Some problems that may be discovered include bladder cancer, kidney cancer, prostate cancer, kidney stones, ureteric stones, bladder stones, urinary tract infection (UTI).

What can I expect after a flexible cystoscopy?

You may have slight discomfort when you pass water, and occasionally see some bleeding after a flexible cystoscopy. This passes after 24-48 hours. It helps to drink plenty of fluids. If it persists contact your consultant.

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