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Updates to Microhematuria: AUA/SUFU Guideline (2025)
Daniel A Barocas1, Yair Lotan2, Richard S Matulewicz3
1Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.
The Journal of Urology
|February 27, 2025
Summary
This updated guideline provides a clinical framework for diagnosing and evaluating microhematuria, incorporating new evidence and revised risk stratification for better patient management.
Area of Science:
- Urology
- Nephrology
Background:
- Microhematuria diagnosis and management guidelines were last updated in 2020.
- New evidence has emerged since the initial guideline publication.
Purpose of the Study:
- To update the clinical framework for microhematuria diagnosis, evaluation, and follow-up.
- Incorporate new evidence and provide revised recommendations.
Main Methods:
- An update literature review was conducted in 2023 by the AUA and SUFU.
- 82 studies published between December 2019 and June 2024 were reviewed, with 23 meeting inclusion criteria.
Main Results:
- The guideline amendment includes updated recommendations based on the literature review.
- New insights include a revised risk stratification system.
Conclusions:
- The updated guideline offers new guidance on microhematuria diagnosis and surveillance.
- Further reviews are anticipated as diagnostic and treatment options evolve.
