Hematuria means blood in the urine. There are two categories, gross hematuria and microscopic hematuria. Gross hematuria implies that one can see the blood in the urine from just looking dark to obvious thick blood and clots. Microscopic hematuria is blood detected by the doctor or lab under the microscope or by urine dipstick test. Another categorization of hematuria is the absence or presence of pain. Painless hematuria especially when gross is concerning for tumors. Hematuria with pain is more concerning for infections or stones.
At Urology Group, we try to identify the source of the blood as quickly as possible. Evaluations include a urine analysis, but also other tests including cultures to check for infection, x-rays, ultrasounds and CT scans to look for stones and tumors. Cystoscopy (looking in the bladder with specially designed telescopes) is often employed to look for tumors in the bladder. Other urine tests sometimes utilized are cytology, Uro Vysion. We often find a reason for the blood and then will move on to treatment if that is warranted. Everyone has a few red blood cells in the urine. Urine dip sticks are developed to detect the “normal” amount and negative evaluations for hematuria are not infrequent.
We will endeavor to find the source of your hematuria as quickly as possible to put your mind to rest about this often concerning condition.