10 Things to Know About Blood in Urine
Gross hematuria should be evaluated in everyone regardless of age or risk factors.
- Nationwide, less than 10% of hematuria patients are being referred for bladder cancer screening.
- Visible blood in urine is a common early sign of bladder and kidney cancers even if it only occurred once.
- 2-5% of patients with microscopic hematuria have bladder cancer with smokers and patients older than age 50 at highest risk.
- Close to 30% of people with visible blood in urine will have a urological diagnosis (10-30% cancer; >10% benign conditions such as bladder or kidney stones, etc). Rates are higher in smokers and those who are older than age 40, and especially over age 60.
- Few #hematuria patients are being referred for #bladdercancer screening. #urology
- Full evaluation for hematuria requires: cystoscopy, CT Urogram with and without IV contract or equivalent study (MRI if cannot get CT) at a minimum.
- Close follow up is necessary for patients who do not have any abnormalities detected initially as there is increased risk for detection in the next 2 years.
- Blood in urine is frequently attributed to a UTI leading to late diagnosis of bladder cancer.
- Nephrological evaluation may be necessary in some patients.
- While the rates of malignancy are low in young patients with microscopic hematuria, nephrological problems may be identified.
Know signs of bladder cancer.