hematuria

1. HAEMATURIA
(Whistle-stop tour)
Sarah-jayne Pollock
GPST1
04/09/2019

2. Objectives
 Definition
 Causes
 Assessment
 Referral guidelines

3. Haematuria
 Haematuria is the
presence of red
blood cells in the
urine. It can either
be:
 Macroscopic
 (Visible / gross
haematuria )
 Microscopic
 (Non-visible /
dipstick positive
haematuria)

4. Location! Location! Location
 Pyelonephritis
 Glomerulonephritis
 Lithiasis
 Acute Cystitis
 Prostate: Ca / BPH
 Inherited diseases (SCD,
Polycystic Kidney
Disease)
 Medications
 Tumors
 Injury
 Exercise
 [Beeturia]

5. Assessment
 History
 Smoking; Occupation
 Examination
 BP
 Urinalysis
 Routine Bloods
 PCR
 Investigate
 USS KUB
 CT KUB
 Cystoscopy

6. Significant Haematuria
 Any single episode of
macroscopic haematuria
 Any single episode of
microscopic haematuria in the
absence of a UTI or other
transient cause
 Persistent asymptomatic
microscopic haematuria

7. When to Refer
 According to the BAUS website…
 Your GP will arrange urgent referral to
the Haematuria Clinic of your local urology unit if:
 you are over the age of 45 years, and have visible
blood in the urine in the absence of infection
 the blood fails to clear following antibiotic treatment for
urinary infection
 you have non-visible bleeding but significant urinary
symptoms
 you have non-visible bleeding, and you are over the
age of 60 years with a high white blood count on a
blood sample or discomfort when you are passing urine