Is microscopic haematuria a urological emergency?

Khan, Majid Ahmad; Shaw, G.; Paris, A. M. I.

doi:10.1046/j.1464-410x.2002.02901.x

Cited by 28 publications

(13 citation statements)

References 6 publications

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“…However, most patients with microscopic haematuria have no urological pathology. One large study of 1950 patients found that 87.3% had no urological cause [1], which is consistent with previous studies [4,5]. How should these patients be subsequently managed?…”

Section: Introductionsupporting

confidence: 82%

The Importance of the Chronic Kidney Disease Guidelines in Urology

et al. 2007

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Section: Introductionsupporting

confidence: 82%

The Importance of the Chronic Kidney Disease Guidelines in Urology

et al. 2007

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“…In a similar study, involving 1034 Japanese adults (75% female), only two cases of bladder cancer was identified in women with microscopic hematuria [14]. Another study conducted in the UK revealed an incidence of 1.4% of bladder tumors in patients with microhematuria [15]. On the other hand, some other studies have also reported high incidences of malignancy among patients with microscopic hematuria.…”

Section: Discussionmentioning

confidence: 99%

Bladder Tumor in Women with Microscopic Hematuria: An Iranian Experience and a Review of the Literature

Abbaszadeh

Taheri

Nourbala

2009

Advances in Urology

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Aim. In this study we report our experience with microhematuria and its relation with bladder tumors in Iranian women. Materials and Methods. Overall 249 women were evaluated. Microscopic hematuria was defined as three or more red blood cells per high-power field on at least two different occasions. Patients with a history of gross hematuria or coagulation disorders, having organic diseases, urinary stones, urinary tract infections, nephrological diseases, and local lesions such as urethral caruncle were excluded from the study population. Final diagnosis of malignant tumors was done with cystoscopy and biopsy specimen pathological assessment in all cases. Results. Age for the study population was 49.7 ± 11.8 years. 95 (38%) of patients were identified during routine check up and presenting symptoms in other patients were frequency, dysuria, stress urge incontinence, urge incontinence, feeling of incomplete urine emptying, and flunk pain, respectively. Finally, 7 (2.8%) of study subjects were confirmed as having bladder tumors. One of tumor cases was diagnosed 24 months after initial assessments. Patients with bladder tumor were significantly older; more frequently had diverticulum in their bladder wall (P < .05). Conclusion. Female microscopic hematuria is relevant and deserves evaluations, especially in elderly patients. Patients whose reason for microhematuria would not be diagnosed at the initial evaluations should be followed.

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“…57 Among 40 referral studies of patients undergoing evaluation for MH, 4 studies clearly identify 6 patients younger than 40 years with GU cancer diagnoses [58][59][60][61] (although 3 of these 4 studies do not provide specific ages) and an additional 15 studies report cancer diagnoses but do not specify whether they occurred in patients younger than 40 years. 23,[62][63][64][65][66][67][68][69][70][71][72][73][74][75] Although a handful of these studies comment on the role of cigarette smoking, none systematically account for all known GU cancer risk factors. The absence of risk factor assessment among the youngest patients with cancer is especially striking as these are the cases on which the AUA guideline bases the universal lowering of the age threshold for cystoscopy.…”

Section: Existing Guidelines and Recommendationsmentioning

confidence: 99%