Re: Gross Hematuria

Posted By HFHS M.D.-AT on October 31, 1998 at 17:38:26:

In Reply to: Gross Hematuria posted by KS on October 12, 1998 at 11:23:00:






My husband had bright red blood while urinating approx 4-5 weeks ago. He went in to see his physician they did urine cultures for infection and a PSA. His dad had Prostrate Cancer a few years ago and did well with treatment. Everything came back negative and the PSA was normal. On examination that was normal to Prostrate was normal no apparent lesions etc. So that was it he did not have burning or frequency of urination. I want him to pursue this because I think there might be something going on. He will not talk about it I want him to be scoped he is only 44 years old and I am worried about Bladder Cancer. He is a non-smoker alittle overweight occasionally has a beer. What can cause gross hematuria?
Thank You Kathy
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Dear KS,
You are very right in your concerns regarding your husbands hematuria.  There are several reasons for blood in the urine including infection, stones, cancers and few rare causes.  It is very important to find out the source and reason for bleeding.  Your husband needs a detailed history and physical examination, intravenous pyelogram (IVP), urinary cytology and cystoscopy.   Further management will depend on the results of above-mentioned tests.
With hematuria, our main concern is always about bladder cancer, which can be adequately treated if diagnosed early.  Prostate cancer on the other hand usually does not present with hematuria.  However in light of positive family history, your husband should undergo yearly prostate cancer screening if he is more than 40 years of age.  Normally screening starts at 50 years of age.  Hope I was able to guide you in making informed medical decisions.
This information is provided for general medical information 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 suburban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians notes and lab test results that you may be able to obtain. These will help us greatly.This information is provided for general medical education purposes only.
Sincerely,
HFHS M.D.-AT
* Keyword: Hematuria