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[Clinical study of asymptomatic microhematuria]
1Department of Urology, Naruto General Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|September 1, 1990
Summary
Asymptomatic microhematuria requires thorough urologic investigation, as significant abnormalities were found in 46% of patients. Even mild hematuria can indicate serious conditions, including bladder tumors.
Area of Science:
- Urology
- Nephrology
- Diagnostic Medicine
Context:
- Asymptomatic microhematuria is a common clinical finding.
- Early detection of urological abnormalities is crucial for patient outcomes.
Purpose:
- To evaluate the diagnostic yield of a comprehensive urologic workup for asymptomatic microhematuria.
- To determine the prevalence and nature of urological abnormalities in patients presenting with this condition.
Summary:
- A survey of 200 patients with asymptomatic microhematuria revealed urological abnormalities in 46% (92 patients).
- Of these, 14% (28 patients) had lesions requiring treatment, including two bladder tumors.
- Importantly, the severity of hematuria did not correlate with the seriousness of the underlying cause, with 46% of patients needing treatment having fewer than 5 red blood cells per high power field.
Impact:
- Highlights the necessity of complete urologic investigation for all patients with asymptomatic microhematuria, regardless of hematuria severity.
- Emphasizes that even subtle findings warrant further evaluation to rule out significant pathology.