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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography

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[Asymptomatic microscopic haematuria: usually not a problem].

S Roemeling¹, R T Gansevoort, M Y Berger

¹Universitair Medisch Centrum Groningen, Groningen.

Nederlands Tijdschrift Voor Geneeskunde

|November 18, 2017

Summary

Asymptomatic microscopic haematuria is common but rarely indicates serious disease. A cautious diagnostic approach is recommended, as work-ups are costly and carry risks without clear benefits.

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Area of Science:

Urology
Nephrology
Diagnostic Medicine

Background:

Asymptomatic microscopic haematuria is a frequent clinical finding.
Numerous potential causes exist for this condition.

Observation:

A small percentage of referred patients present with urological malignancy or significant nephrogenic disease.
Diagnostic procedures like cystoscopy, ultrasound, and CT scans are often employed.
These investigations can be expensive, pose health risks, and induce patient anxiety.

Findings:

Microscopic haematuria is not a reliable precursor to macroscopic haematuria.
Macroscopic haematuria is more indicative of serious underlying pathologies.

Implications:

Referral for microscopic haematuria should be reserved for microscopically confirmed cases.
Diagnostic work-up initiation requires careful consideration due to cost, risks, and limited diagnostic yield.
Further research may be needed to refine diagnostic strategies for asymptomatic microscopic haematuria.