Hematuria (blood in the urine) is a common reason for referral to the urologist's office. It can be due to benign or malignant disease. The source of blood can arise from anywhere in the male or female urinary tract, and may be gross hematuria, which is blood that you can see, or microscopic hematuria, which you cannot see. It is imperative to do a complete workup to rule out potentially serious or life-threatening problems such as kidney stones, kidney tumors, or cancers of the lining of the kidneys, ureter, bladder, or prostate.
At Urology Associates Ltd., the workup consists of history, review of past medical problems, medications and allergies, a problem focused physical exam, urinalysis, and possibly a post void residual scan. After this is completed a cystoscopy is usually performed in the office with local anesthesia. This consists of a small flexible endoscope inserted through the urethra along with a comforting, anesthetic jelly. This is done to look for bladder stones or cancer.
The other test commonly done is a CT scan of the abdomen and pelvis without and with contrast. This is done to rule out structural abnormalities of the upper urinary tracts, such as kidney tumors or stones. Other testing that may be done might include urinary cytology, NMP-22, FISH urinary cytology, or PSA.
Most hematuria evaluations uncover non-serious conditions that may or may not need treatment, but a significant number of patients are found to have serious problems that need definitive treatment.
At Urology Associates Ltd., we offer a full range of diagnostic tools for hematuria evaluation with endoscopy, CT scanning, lab and pathology services on site, and the full range of treatment for urologic conditions that cause hematuria.