Wednesday, 23 May 2012
  3 Replies
  5.4K Visits
  Subscribe
What is your suggested work-up for incidental hematuria on an insurance examination in a middle-aged male?  
Hello,

Personally, I would work this up especially if persistent. This is a very common reason for referral to my office and in most cases is benign (even idiopathic).

Jordan
9 years ago
·
#205
Thanks for the reply - to clarify, would you suggest any investigations at all in a fit 40yo male with a single instance of an asymptomatic finding of 6RBC/HPF?
Hello,

The answer to this question would depend on the patient's age.

In general though, patients should undergo urine culture to exclude infection, ultrasound to assess for urinary tract and renal structural abnormalities, renal function testing, urine cytology and possibly cystoscopy, particularly in older patients who might be at increased risk of bladder neoplasms. Of course, each patient needs to be examined as well to assess for hypertension as well of signs if systemic disease.

Dr. Jordan Weinstein
  • Page :
  • 1
There are no replies made for this post yet.
Be one of the first to reply to this post!
Submit Your Response
Upload files or images for this discussion by clicking on the upload button below.
Supported: gif,jpg,png,zip,rar,pdf,jpeg,doc,docx,xls,xlsx
· Insert · Remove
  Upload Files (Maximum 10MB)

Sharing your current location while posting a new question allow viewers to identify the location you are located.

ukidneyisup