The urologists at Urology Associates provide treatment for hematuria, which is a disorder in which blood enters the urine. Blood can be visible to the eye or through a microscope. Our urologists use various tests to diagnose hematuria in men or women. Treatment depends on the disorder from which the hematuria arises.

Hematuria is a disorder of blood entering the urine. Hematuria can either be visible to the naked eye (gross hematuria) or detected through analysis of the urine (microscopic hematuria). Blood in the urine can be benign (harmless) or a sign that something more serious is going on. Hematuria can be caused by numerous disorders including urinary tract infections (UTIs), kidney disease, enlarged prostates, urinary catheters, trauma, cancer, medications and more. It is important to evaluate hematuria to determine possible causes and initiate appropriate treatment(s) depending on the cause.

Hematuria can present with or without symptoms, depending on the underlying cause. It is important that patients report any past or new episodes of visible blood to our urologist immediately for proper evaluation. Some possible associated symptoms with hematuria include:

• Abdominal pain
• Frequent urination
• Painful urination
• Fever or pain in the side

A wide variety of factors determine the work up of hematuria. Some factors include age, current history, past medical history, social and family history, amount of hematuria, etc. Some of the potential tests the urologists at Urology Associates may order to evaluate your hematuria include:

• Urine tests: to examine for red blood cells (blood) in the urine. Also to evaluate for infection or other potential causes for hematuria.
• Urine cytology: to examine for specific markers in the urine that could indicate cancer as source.
• Blood test: BUN, creatinine, PSA (in older men), platelets, bleeding times, or other types of blood work may be assessed.
• Cystoscopy: This involves examining the urethra, prostate, and bladder with a small camera is another way to evaluate hematuria.
• CT/MRI imaging: Depending on the associated risk factors and findings from above tests, advanced imaging may be used to view the kidney, ureters, bladder, and surrounding organs.

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• Depends on the underlying source causing hematuria as determined by evaluation
• Treating the underlying cause of hematuria can be simple or complex depending on the cause.
  • Some of the possible simple treatments include adjusting current medications, treating underlying infections, removing kidney stones, and altering activity.
  • More complex treatments are necessary if the hematuria is found to be caused by cancer and prostate related issues. There may be no found cause of hematuria, even after extensive evaluation, in which our urologists will continue to monitor you over time.