Urology Expert Forum
Red blood cells in urine
About This Forum:

Questions in the Urology forum are answered by medical professionals at Healthcare Magic. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Red blood cells in urine

  During a routine test my doctor found red blood cells in my urine. He referred me to the urologist who ordered an ultrasound of the kidneys. this test was negative. now he wants to do a test with a scope so he can look in the bladder and where ever else it goes...
  I sas the same urologist 6 years ago for a hernia repair. At that time he found the same thing. He tested the urine two more times and is was negative. he said lots of time after a rectal exam you could see the traces of blood in the urine.  6 years ago he dropped it after the uninalysis was negative.
  my question is why now are we doing ultrasounds and scope (dont know what this called) tests?  does this sound right?
------------------------------------------------------------------------------------------------------------
Dear Mark
Thanks for your concerned question.  
Hematuria is very common and  can be the early signs significant pathology namely; stones, infection or even cancer.  The normal work-up for hematuria is a IVP( kidney films with dye) or Ultrasound with KUB ( plain xray of the kidneys) and also a cystoscopic exam (looking into the bladder with a lighted scope).
The Xrays look for stones and tumors of the kidney.   The cystoscopy exam is necessary because small bladder tumors can not be seen  on xray. The same for small bleeding blood vessels of the prostate. Usually the cystoscopes (lighted telescopes) are flexible and much more comfortable than just a few years ago.
Approximately 30-40% of persons with microscopic hematuria ( microhematuria) have no identifiable cause ( idiopathic).  Unfortunately, we are unable to predict which patients, with previously negative work-up for microhematuria, have not  developed  a diagnosable cause several yearss later.   The guidelines for continued idiopathic microhematuria, call for  a full work-up every 3 to 5 years.  I would lean toward every three years especially if the patient smoked.  ( 4 times higher risk of bladder cancer.)
Hope this has helped and good luck with your cystoscopy.??.  
More individualized care is available at the Henry Ford Hospital and its urban 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
Related Discussions
0 Comments
Blank
Avatar_n_tn
A related discussion, Red Blood Cells in Urine was started.
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
563773_tn?1374250139
Bhupinder Kaur, MDBlank
Private practice
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
1684282_tn?1350782543
Blank
The Death by Heroin
Feb 03 by Julia M Aharonov, DOBlank