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Hematuria ( bloody urine)

Dr. Shteynshlyuger specializes in comprehensive evaluation and management of a major health issue, blood in urine also known as hematuria.  As a fellowship trained urologist with subspecialty in urologic oncology, he is well qualified to help patients who have been found to have blood in urine.

“Every patient with gross or microscopic hematuria needs a thorough urological evaluation that is consistent with the national guidelines and standard of care.”  – Alex Shteynshlyuger M.D.

Hematuria, or blood in urine, is one of the most challenging problems in urology. The constantly changing knowledge and recommendations as well as the broad spectrum of urological and nephrological problems that could cause hematuria make it a challenging problem for primary care physicians, nephrologists and urologists.

Dr. Shteynshlyuger has extensive experience taking care of patients with complex hematuria histories. He enjoys the surgical challenges and the medical complexity of evaluating and treating men and women with blood in urine.  He evaluates both microscopic and gross (visible) hematuria.

If you have seen blood in your urine or was told that you have blood in urine or hematuria you need an expert evaluation.  To schedule a thorough evaluation of hematuria or a second or third opinion make an appointment with Dr. Alex Shteynshlyuger.

 Top 10 Things to Know About Blood in Urine

What is hematuria.

Hematuria is the presence of blood in urine. Blood in urine can be microscopic visible only under the microscope or it can be gross visible with the naked eye. If a Dr. detects blood in urine or microscopic urine exam here she will typically refer you to her urologist. If he see blood in urine it should promptly schedule an appointment with the urologist. If the bleeding is severe you may need to go to the emergency room.

What are the causes of hematuria?

There are many courses for hematuria. These include:

  • Kidney stones
  • Medical kidney disease
  • Urinary tract infections (UTI)
  • Kidney cancer
  • Bladder cancer
  • Enlarged prostate/BPH
  • Prostate cancer
  • Urethral cancer
  • Endometrial cancer
  • Ovarian cancer
  • Ureteral cancer
  • Blood disorders
  • Bladder stones
  • Kidney stones
  • Ureteral stones
  • Trauma
  • Vascular malformations

 

Would evaluation is necessary for hematuria?

A thorough evaluation is necessary when bloody urine is present the exact evaluation depends on the patient age, gender and underlying medical health. In general repeat urinalysis, urine culture, imaging of the kidneys ureters and the bladder with a CAT scan and visual evaluation of the bladder with cystoscopy is performed. Additional testing may be required for some patients.

 

Who should I see if I have hematuria?

If you have bloody urine you should see a urologist. Depending on the urologist findings, urologist may refer you to additional specialists if necessary.

If you have seen blood in your urine or was told that you have blood in urine or hematuria you need an expert evaluation.  To schedule a thorough evaluation of hematuria or a second or third opinion make an appointment with Dr. Alex Shteynshlyuger.

 

References:

AUA Guidelines on evaluation of microscopic hematuria

Last modified on November 15, 2013