Haematuria

Haematuria refers to the presence of blood in the urine.

Haematuria is often classified into two main categories:

  • Microscopic: cannot be seen with the naked eye. Is only detected when the urine is examined under a microscope.
  • Macroscopic: visible to the naked eye.

If you notice blood in your urine you should let your doctor know. While in many instances it is a harmless occurrence, it can also be an indication of something more serious occurring in the urinary tract.

Haematuria
What Causes Haematuria?

There are many reasons why you might have blood in the urine: most are benign but some causes are more serious.

Some of the causes include:

  • Urinary tract infection
  • Urinary tract stone
  • Enlarged prostate
  • Presence of a catheter
  • Recent procedure on the urinary tract
  • Bladder, kidney or ureteric cancer
  • Post radiotherapy treatment for prostate or bladder cancer
How Might my Urologist Investigate This?

Your Urologist will take a thorough history and physical examination.

Some investigations that your Urologist may request include:

  • Urine test
    • To check for an infection
    • Urine cytology – to check for the possibility of a bladder or ureteric cancer
  • Blood test
    • To check for haemoglobin levels and kidney function
  • Imaging
    • CT IVP/Urogram – a CT scan to specifically look at the urinary tract checking for potential sources of bleeding
    • Ultrasound of the urinary tract
  • Procedure
    • Cystoscopy – to specifically assess the urethra and bladder for a cause of bleeding
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