Hematuria is the presence of blood in the urine. There are two general types:
- Gross Hematuria - the urine looks pink, red or rust colored, sometimes with clots
- Microscopic Hematuria - the urine looks normal but on urinalysis, blood is detected
Either way, all cases of hematuria need some basic evaluation to determine the cause
Usually, three tests are done:
- Blood test to check kidney function
- X-rays of the kidney, usually in the form of a CT scan, with or without contrast. This is done to look for kidney stones, blockages, tumors, etc.
- Cystoscopy (inspection of the bladder with an instrument) to check for abnormalities inside the urinary bladder
This is a test where a flexible instrument is passed into the bladder for visual inspection. This procedure allows the physician to examine the bladder as well as the urethra. There is no preparation required prior to your arrival for the procedure. At the time of your appointment, an ultrasound of your bladder may be performed to evaluate the volume of remaining urine. The physician will then insert the flexible cystoscope into the urethra while filling your bladder with sterile water. After careful examination of the bladder and urethra, the doctor will remove the flexible cystoscope. This entire procedure takes approximately two to five minutes. Following the exam, the physician will discuss the results of the procedure in detail with you as well as appropriate follow-up.
Following the procedure you may feel an increased need to urinate and may have some burning while voiding. You may also see blood in the urine. These symptoms generally subside within a few days. We do encourage you drink plenty of fluids. If bleeding continues, you develop a fever, or have difficulty urinating, please call the office promptly.
You may drive yourself to and from this appointment.
No drugs are administered intravenously.
You can take your daily medications.
There are no dietary restrictions for this procedure.
You can return to regular activity right after this procedure.
Take a shower before the test.
Drink extra fluids that day.
In women, the test is easier because the urethra is much shorter. In men, local anesthesia can be used to make the procedure more tolerable.