Mr. Kilian Walsh

Haematuria - Blood in Urine

Haematuria can either be microscopic (i.e. detected with the GPs urinary dipstick) or macroscopic (i.e. the patient sees the blood in the urine themselves), either way Urologists would advice investigation.  We usually advice a consultation and physical examination, a cystoscopy and renal ultrasound +/- CT-IVU. 

After these investigations for haematuria a patient could be reassured, there was no underlying abnormality or else if an abnormality was found, it can be dealt with appropriately. 

If a renal cancer or bladder cancer were to be found following investigation of haematuria the usual treatment for renal cancer would be removal of the kidney which is called nephrectomy.  This can be done laparoscopically (keyhole) or open. 

If a bladder cancer were to be found this is usually resected inside the bladder histology is sent to the laboratory and depending upon the extent and aggressiveness of the tumour it can either be controlled with repeated intra-bladder resections or occasionally in more aggressive disease the patient may require a cystectomy.

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