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 a subspecialty in urologic oncology, he is well qualified to help patients who have been found to have blood in the 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 to 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 the urine.  He evaluates both microscopic and gross (visible) hematuria.

If you have seen blood in your urine or were 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 makes 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 the urine. Blood in the urine can be microscopically and visible only under the microscope or it can be gross visible with the naked eye. If a Dr. detects blood in the urine or microscopic urine exam here she will typically refer you to her urologist. If he sees blood in his urine he 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’s 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 are 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’s findings, a urologist may refer you to additional specialists if necessary.

If you have seen blood in your urine or were 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 makes an appointment with Dr. Alex Shteynshlyuger.

References:

AUA Guidelines on evaluation of microscopic hematuria

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