Identification of Patients with Microscopic Hematuria who are at Greater Risk for the Presence of Bladder Tumors Using a Dedicated Questionnaire and Point of Care Urine Test - A Study by the Members of Association of Urooncology, Turkey

Abstract

Asian Pac J Cancer Prev, 15 (15), 6283-6286 IntroductionMicroscpic hematuria is a common incidental finding and its prevalence is between 9 to 20% in apparently normal population and defined by the American Urologic Association (AUA) best practice guidelines as 3 or more red blood cells per high power field on microscopic examination of a properly collected urine specimen in the absence of any obvious benign cause (Grossfeld et al., 2001;Davis et al., 2012). It may be due to a multitude of urological problems however urothelial carcinoma of the bladder (UC) is probably the most significant one which is a major health problem across the world. Although not all patients are at the same risk for UC, approximately 3 % of male patients above the age of 40 with microscopic

Urothelial bladder cancer in young adults: Diagnosis, treatment and clinical behaviour

“…17 Ozbey and colleagues reported a 64% single-focus tumour rate in the diagnosis of superficial tumours in younger patients. 9 In our study, 64 (70.3%) patients had a single focus and 27 (29.7%) patients had multicentric tumours. Another study reported that recurrence-free survival rates decrease with the age.…”

“…On the other hand, it is important to focus on identifying patients with microscopic hematuria who are at greater risk for bladder tumours. 9 Similarly, macroscopic hematuria was the most common patient complaint (78%). USG and cystoscopy are complementary diagnostic methods in tumour diagnosis.…”

The Role of Urine Investigations in Urology Practice

“…In urologic diseases the presence of normal RBCs are seen in the urine which differentiates it from Nephrological causes of heamaturia where dysmorphic RBCs are demonstrated [12]. Urine dipstick test can also differentiate the reddish discolouration of urine due to heamaturia from myoglobinuria or metheamalgobinuria and the use of an automated system iQ200 has been shown to be accurate for detecting, enumerating and sizing RBCs in urine [13] [14].…”