[Macrohaematuria in Anticoagulated Patients]

Macrohaematuria in Anticoagulated Patients Abstract. Macrohaematuria should always be clarified as a symptom, regardless of whether anticoagulation exists. The most common causes are haemorrhagic cystitis and in men prostate hyperplasia. The most important other differential diagnoses are urothelial carcinoma and urolithiasis. Primary diagnostics include a rapid urine test, urine culture and sonography of the urinary tract. The complete examination is performed by cystoscopy and computer tomography. Coagulation should always be checked. Light bleeding can be clarified urologically on an outpatient basis, while patients with haemodynamically relevant and/or tamponing haemorrhages should always be admitted on an inpatient basis. Anticoagulated, bleeding patients also require the full attention of urologists, internists and anaesthetists due to the underlying internal diseases.