I agree with the workup thus far, and it has been comprehensive.
I am not aware of horseshoe kidney by itself leading to gross hematuria.
The cystoscopy is a comprehensive test of the lower GU tract, and can exclude diseases like bladder cancer.
If this test is negative, repeating it every 3-6 months is an option to ensure that a cancer of the lower GU tract isn't the cause.
Another urological opinion can be sought if the diagnosis is non-revealing.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Thank you for your reply. I had the repeat Cysto this morning and it was clear again. Therefore, we still do not have a diagnosis for the intermittent bleeding. Also U/A taken directly from bladder during cysto was negative for blood. I am scheduled for follow up in 6 months.
Thank You