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Urology (Expert Forum)
Hematuria -
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Hematuria -
by Beth, Oct 07, 1999 12:00AM
I am 40 - 10 months ago I experienced my first UTI - antibx cleared the infection but I continued and continue to have persistant asymptomatic microscopic hematuria - IVP:negative cystology:negative cystoscopy:negative.
What would the usual algorithm say to do next?
My mother died 2 years ago of renal transitional cell carcinoma.
Would an abdominal CT scan be in order? What are the chances of a CT scan detecting anything, given the other tests were negative? Thanks
What would the usual algorithm say to do next?
My mother died 2 years ago of renal transitional cell carcinoma.
Would an abdominal CT scan be in order? What are the chances of a CT scan detecting anything, given the other tests were negative? Thanks
Doctor's Answer
by HFHS M.D.-BE, Oct 12, 1999 12:00AM
Dear Beth,
The work up that has been done in your case is the gold standard , and should be adequate. There is no preponderance of evidence suggesting a familial predisposition in the case of transitional cell cancer. The best follow up for you would be urine cytology checks, probably on a yearly basis to be certain that if a conversion occurs , it is dealt with expeditiously. A CT scan at this point is unnecessary. It is unlikely to add much to the diagnostic process. The best of luck to you.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568).
Sincerely;
HFHS-M.D. BE
The work up that has been done in your case is the gold standard , and should be adequate. There is no preponderance of evidence suggesting a familial predisposition in the case of transitional cell cancer. The best follow up for you would be urine cytology checks, probably on a yearly basis to be certain that if a conversion occurs , it is dealt with expeditiously. A CT scan at this point is unnecessary. It is unlikely to add much to the diagnostic process. The best of luck to you.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568).
Sincerely;
HFHS-M.D. BE
Member Comments
by Pat, Oct 27, 1999 12:00AM
To: Kidney Cancer
0
by Laura, Nov 01, 1999 12:00AM
To: Kidney Cancer
0
