Gross Hematuria

Abstract

A distressing complication for patients and families, gross hematuria at the end of life challenges hospice and palliative care clinicians to utilize skills in medical and nursing management, communication and clarification of patient goals, and relief of symptom burden. Massive hemorrhage in the genitourinary tract can radically alter the terminal trajectory for patients and necessitate intensive interventions aimed at promoting comfort. Here, a case of gross hematuria in an adult hospice patient serves to broaching decision-making challenges and management strategies.

Association Between Use of Antithrombotic Medication and Hematuria-Related Complications

“…Over time, significant changes in the prescribing of antithrombotic medications have occurred and overall use has significantly expanded . Gross hematuria can be significantly distressing to patients and may contribute to subsequent poor adherence with antithrombotic therapy, which has been shown to increase the risk of stroke and death . Similarly, antithrombotic discontinuation due to bleeding contributes to increased rates of thrombotic events .…”

Suspected Hematuria: Adverse Effects of Rivaroxaban in Older Adult Treated for Atrial Fibrillation

“…The causes of gross hematuria include traumatic injury, neoplasm, urinary tract infection, pyelonephritis, glomerulonephritis, radiation cystitis, and metabolic, congenital, hematologic, vascular, obstructive, and idiopathic causes. Nontreated hematuria may lead to kidney failure [15]. After the pharmacist reviewed her therapy, it was noted that the patient was treated with Irbenida ® (irbesartan) 150 mg 1 × 1, Xarelto ® (rivaroxaban) 20 mg 1 × 1, and Omeprol ® (omeprazole) caps.…”

Influence of the grade and invasiveness of bladder cancer on disease course severity in patients with bladder tamponade resulting from a bleeding bladder cancer

“…A common complication is an anemia resulting from heavy bleeding and requiring the transfusion of blood products. [ 3 ]…”