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Urology (Expert Forum)
ab/pelvic pain, blood in urine
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.
ab/pelvic pain, blood in urine
by Kirsten__0__0, Oct 29, 1998 12:00AM
About 5 weeks ago I noticed abdominal and pelvic pain as well as some back pain. I also noticed an increase in the frequency in urination. My doctor found blood in my urine (microscopic) and thought that I had a bladder infection. Since then I have been on antibiotics four times. My urine culture has shown no bacterial growth and only once had a trace amount of leukocytes.
I have only infrequent pain AFTER urination that comes in waves and then subsides. I was wondering if I could have urinary tract or kidney stones? I thought that I would be in much more pain. What kinds of tests do stones show up on? Thank you very much for any help anyone can provide.
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Dear Kristen,
Microscopic hematuria (blood detected in the urine under a microscope) and gross hematuria (blood seen in the urine under the naked eye) may be caused by a variety of problems such as urinary tract infections, kidney stones or any stone in the urinary tract, tumors anywhere in the urinary tract, etc. They both deserve work-up which would include an upper and lower urinary tract work up. The upper urinary tract can be worked up with an intravenous pyelogram (IVP) or ultrasound, both of which are radiographical tests. Work-up of the lower urinary tract requires a cystoscopy, which involves looking into the bladder with a lighted telescope in the urologist’s office.
It is possible that the symptoms above can be attributed to a urinary tract infection, but the absence of any positive findings on urine culture makes this unlikely. If there is any confirmation of an infection by urine culture, it would have to be treated first, and no workup for hematuria should be done at that time. However, if there is persistent microscopic hematuria on subsequent urine analyses after this, then a hematuria workup as mentioned above would be required Wish you the best.
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 satellites (1 800 653 6568).
Sincerely,
HFHS M.D.-JJ
*Keyword: hematuria, dysuria
I have only infrequent pain AFTER urination that comes in waves and then subsides. I was wondering if I could have urinary tract or kidney stones? I thought that I would be in much more pain. What kinds of tests do stones show up on? Thank you very much for any help anyone can provide.
--------------------------------------------------------------------------------------------------------------------------------
Dear Kristen,
Microscopic hematuria (blood detected in the urine under a microscope) and gross hematuria (blood seen in the urine under the naked eye) may be caused by a variety of problems such as urinary tract infections, kidney stones or any stone in the urinary tract, tumors anywhere in the urinary tract, etc. They both deserve work-up which would include an upper and lower urinary tract work up. The upper urinary tract can be worked up with an intravenous pyelogram (IVP) or ultrasound, both of which are radiographical tests. Work-up of the lower urinary tract requires a cystoscopy, which involves looking into the bladder with a lighted telescope in the urologist’s office.
It is possible that the symptoms above can be attributed to a urinary tract infection, but the absence of any positive findings on urine culture makes this unlikely. If there is any confirmation of an infection by urine culture, it would have to be treated first, and no workup for hematuria should be done at that time. However, if there is persistent microscopic hematuria on subsequent urine analyses after this, then a hematuria workup as mentioned above would be required Wish you the best.
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 satellites (1 800 653 6568).
Sincerely,
HFHS M.D.-JJ
*Keyword: hematuria, dysuria
