Microscopic haematuria: urological investigation using a standard protocol

摘要: Objective To determine which patients with asymptomatic microscopic haematuria (AMH) should be investigated to exclude significant urological pathology. Patients and methods The study comprised a prospective audit of standard protocol for investigating all referred over one year in clinic the urology department serving Tayside, Scotland. Investigations included urine culture cytology, flexible cystoscopy, upper tract imaging consisted both excretory urography renal ultrasonography many patients. Results A total 381 was investigated. No malignancy found any 50 years overall incidence 7.5% (19/250). The this group had lower (5%, 6/126) than symptomatic (10.5%, 13/124) but difference did not reach statistical significance. There no statistically between men women haematuria. During same period, 233 were frank haematuria; these patients, those aged 34.5% (60/173). A 18 (4.7%) calculi, comprising 5.3% (7/131) haematuria. Conclusions The investigation older (and haematuria) is well justified, as will proportion even if they are asymptomatic. benefit full younger debatable.