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Haematuria analysed--a prospective study.

D A Gillatt¹, P H O'Reilly

¹Department of Urology, Stepping Hill Hospital, Stockport, Cheshire.

Journal of the Royal Society of Medicine

|September 1, 1987

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A study of 100 patients found that 52% of cases with haematuria (blood in urine) had serious urological disease. This highlights the importance of investigating all instances of blood in urine, even minor ones.

Area of Science:

Urology
Nephrology
Oncology

Background:

Haematuria, or blood in urine, is a common presenting symptom in urological practice.
Prompt diagnosis and management are crucial for favorable patient outcomes.
Previous studies have indicated varying proportions of significant underlying pathology.

Purpose of the Study:

To prospectively evaluate the etiological spectrum of haematuria.
To determine the proportion of serious urological diseases associated with haematuria.
To reinforce the clinical significance of investigating haematuria.

Main Methods:

Prospective study design.
Inclusion of 100 consecutive cases presenting with haematuria.
Comprehensive urological investigations tailored to individual patient presentation.

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Main Results:

A significant proportion of patients (52%) were diagnosed with serious urological disease.
The spectrum of disease included malignancies, infections, and structural abnormalities.
Even microscopic haematuria was associated with significant pathology in a notable number of cases.

Conclusions:

Haematuria is a critical sign warranting thorough urological investigation.
A high index of suspicion for serious pathology should be maintained in all patients with haematuria.
Early and complete diagnostic workup can lead to timely intervention and improved prognosis.