HAEMATURIA IN THE ADULT

Causes

  • Urinary tract infection
  • Malignancies of the urinary tract.
  • Bleeding diathesis
  • Urinary tract calculi
  • Urinary tract trauma
  • Hypertension.

Macroscopic haematuria is more likely than microscopic haematuria to be due to urinary tract pathology.
Ageing is associated with a higher incidence of significant urinary tract pathology.

Investigation

Should include the following:

  • Urine for microscopy cytology
  • Urinary tract ultrasound
  • Kidney ureter and bladder (KUB), radiograph
  • Urine for culture and sensitivity
  • Flexible cystoscopy
  • Rigid cystoscopy
  • IVU
  • CT scan abdomen

Management

  • Identify and treat the underlying cause. Treatment for bladder cancer needs special emphasis as delay in diagnosis has morbidity and mortality implications.
  • Address any complications that may have arisen.