Haematuria

Although there are many potential causes for blood in the urine, those most often identified are:

  • bladder infection
  • cancers of the bladder, kidney or prostate
  • stones in the kidneys or bladder
  • inflammation of the kidneys (nephritis)
  • urinary tract injuries
  • blood disorders (e.g., sickle cell disease, clotting disorders, anticoagulant and anti- platelet drugs)
  • other causes, including less common infections (e.g.TB, schistosomiasis)

Your GP will arrange a referral to the Haematuria Clinic if:

  • you are over the age of 45 years, and have visible blood in the urine in the absence of infection
  • the blood fails to clear following antibotic treatment for urinary infection
  • you have non-visible bleeding but significant urinary symptoms
  • you have non-visible bleeding, and you are over the age of 60 years with a high white blood count on a blood sample of discomfort when you are passing urine

This will involve:

  • Detailing questionning  about your urinary tract and any related symptoms
  • A physical examination (including rectal or vaginal examination) 
  • Blood tests (if not already performed by GP)
  • Examination of the urine for blood cells
  • X-rays or scans including, CT Scan (may involve an iodine-based injection; you must inform staff if you have a history of allergy to iodine or to previous x-ray injections),  Ultrasound, or Intravenous urogram (IVU) (may involve an iodine-based injection: see allergy advice above)
  • A flexible cystoscopy - A flexible telescope which allows the consultant to see inside your bladder