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The evaluation of microscopic hematuria: a population-based study
1Department of Surgery, Brooke Army Medical Center, Fort San Houston, Texas.
The Journal of Urology
|November 1, 1987
Summary
Routine urological evaluations for men with asymptomatic microscopic hematuria are justified. A significant number of patients were found to have underlying urological diseases, underscoring the importance of comprehensive assessment.
Area of Science:
- Urology
- Diagnostic Medicine
Background:
- Microscopic hematuria is often asymptomatic.
- The diagnostic yield of evaluating asymptomatic microscopic hematuria is debated.
Purpose of the Study:
- To determine the significance of asymptomatic microscopic hematuria in a general male population.
- To assess the rate of significant urological disease detected through complete evaluation.
Main Methods:
- Prospective study involving 2,005 men from 1979-1983.
- All participants underwent routine urological examinations.
- Asymptomatic microscopic hematuria was identified in 4% of men, who then received complete urological evaluation.
Main Results:
- 85 men (4%) presented with asymptomatic microscopic hematuria.
- Significant urological disease was diagnosed in 22% of these men.
- The evaluation identified various urological conditions requiring attention.
Conclusions:
- Complete urological evaluation is clinically justified for men with asymptomatic microscopic hematuria.
- Early detection of urological disease is possible through systematic evaluation.
- This approach aids in managing potentially serious conditions in a non-selected group.
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