Blood In Urine (cont.)

Treatments for hematuria vary widely and depend wholly upon the reason for the bleeding. It is important to note that there is often no source found for the hematuria. This should not be a source of major concern, however, since an appropriate workup effectively rules out the most serious causes of hematuria (for example, cancer). In cases where a workup is negative and the cause of the hematuria remains unknown, observation with repeat urinalyses is a reasonable option. A blood test to check kidney function and a blood-pressure check should be done as well. Men over 50 should discuss with their doctor the yearly prostate-specific antigen (PSA) blood test to screen for prostate cancer.

Further discussion of the treatment for hematuria would depend upon the results of the previously mentioned workup and the exact cause for the hematuria. The urologist who performs this examination would direct any further treatment or workup that would be necessary.

• Blood in urine can sometimes be visible only with a microscope.
• Evaluating blood in urine requires consideration of the entire urinary tract.
• Tests used for the diagnosis of blood in urine include a CT scan, cystoscopy, and urine cytology.
• Management of blood in the urine depends upon the underlying cause.

Previous contributing author: Mark H. Katz, MD

Last Editorial Review: 11/6/2009

Source: MedicineNet.com
http://www.medicinenet.com/blood_in_urine/article.htm