5 Things to Know About Blood in Urine
Visible or Gross Hematuria Should be Evaluated in Everyone Regardless of Age or Risk Factors.
Fewer than 15% of patients with blood in urine with risk factors are being referred for bladder cancer screening according to a recently published study.
- Hematuria is the most common symptom of bladder and kidney cancers. 2-5% of patients with microscopic hematuria have bladder cancer. Current and ex-smokers and patients older than age 50 are at the highest risk.
- Close to 30% of people with visible blood in the urine will have a treatable urological diagnosis (10-30% cancer; >10% benign conditions such as BPH, bladder or kidney stones, etc).
- Rates of bladder cancer are higher in smokers and those who are older than age 40, and especially over age 60.
- The full evaluation for hematuria requires cystoscopy, CT Urogram with and without IV contract or equivalent study (MRI if cannot get CT) at a minimum. A nephrological evaluation may be necessary for some patients.
Close follow up is necessary for patients as there is increased risk for cancer detection in the next 2 years after initial negative evaluation.
Dr. Alex Shteynshlyuger is a board-certified urologist in NYC who specializes in treating some of the most complex urology problems in men. He has treated hundreds of men and women with blood in the urine, kidney stones, bladder stones, enlarged prostate, bladder cancer, UTI, prostate, and kidney cancer.