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Haematuria: a long-term problem after prostatectomy.

V H Nargund1, J G Noble, D Cranston

  • 1Department of Urology, Oxford Radcliffe Hospital NHS Trust and University of Oxford, The Churchill, Oxford, UK. vhnar@lineone.net

Urologia Internationalis
|January 11, 2001
PubMed
Summary
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Investigating late haematuria after prostatectomy revealed a significant chance of finding a cause. Further screening investigations are recommended for patients experiencing post-prostatectomy hematuria.

Area of Science:

  • Urology
  • Oncology

Background:

  • Late haematuria, defined as occurring 2 or more years post-surgery, can be a complication following prostatectomy.
  • Identifying the etiology of such delayed hematuria is crucial for patient management.

Purpose of the Study:

  • To investigate the causes of late haematuria (≥2 years) after both endoscopic and open prostatectomy.
  • To determine the diagnostic yield of investigations in patients with post-prostatectomy haematuria.

Main Methods:

  • A cohort of 90 patients with post-prostatectomy haematuria was evaluated between 1994-1996.
  • Patients underwent upper tract imaging and cystoscopic examination; those with haematuria within 2 years and normal investigations were excluded, leaving 60 patients for analysis.

Main Results:

Related Experiment Videos

  • In 60 patients with late haematuria, a demonstrable cause was identified in 24 (43%).
  • Urinary tract malignancy was found in 6 of these patients.

Conclusions:

  • A significant proportion of patients experiencing late haematuria after prostatectomy have identifiable causes, even after initial urological investigations.
  • Routine screening investigations are warranted for patients presenting with haematuria post-prostatectomy to uncover potential underlying pathologies, including malignancy.