Haematuria Flashcards
What is haematospermia?
Presence of blood in semen.
Where can blood in urine come from?
Haematospermia.
Haematuria.
PV bleeding.
What is visible haematuria?
Macroscopic or gross haematuria.
What is non-visible haematuria?
Microscopic or dipstick positive haematuria.
What symptoms are seen in symptomatic non-visible haematuria?
LUTS - hesitancy, frequency, urgency, dysuria.
UUTS - renal colic.
What is asymptomatic non-visible haematuria?
Incidental finding.
What is significant microscopic haematuria?
3 or more RBCs per high-power field on microscopic evaluation of urinary sediment from 2 of 3 properly collected urinalysis specimens.
What are the risk factors for microscopic haematuria?
Smoking.
Occupation history to chemicals or dyes.
History of gross haematuria.
Age >40.
History of urologic disorder or disease.
History of voiding symptoms.
History of UTI.
Overuse of pain killers.
What are the symptoms of tumours within the urinary tract?
Haematuria.
Loin pain/renal colic.
Retention of urine.
Urinary irritative symptoms.
What is sport (jogger’s) haematuria?
Haematuria due to renal/bladder trauma in contact sports.
What is loin pain haematuria syndrome?
Very rare.
Period of severe unilateral, or less often, bilateral, loin pain radiation to the abdominal area, medial thigh or groin.
Occurs for hours to constant persistent pain.
Who should be referred to urology urgently for suspected cancer?
Patients aged >45 with visible haematuria or >60 with symptomatic non-visible haematuria.