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Haematuria in Nigerians: a prospective study.
The Journal of Tropical Medicine and Hygiene
|June 1, 1984
Summary
Investigating hematuria in Nigerians revealed diverse causes, with infections and neoplasms being most common. Early, thorough investigation is crucial, especially as bladder cancer patients presented late with poor survival rates.
Area of Science:
- Urology
- Nephrology
- Public Health
Background:
- Hematuria, or blood in urine, is a significant urological symptom.
- Delayed presentation for hematuria is common, impacting diagnosis and outcomes.
- Understanding the diverse etiologies of hematuria is vital for effective patient management.
Purpose of the Study:
- To investigate the causes and diagnostic approaches for hematuria in a Nigerian population.
- To analyze the presentation patterns and outcomes of patients with hematuria.
- To emphasize the importance of timely and comprehensive hematuria evaluation.
Main Methods:
- Retrospective analysis of 190 Nigerian patients presenting with hematuria.
- Full clinical investigation including urethrocystoscopy and intravenous urography.
- Categorization of hematuria causes including infection, neoplasms, schistosomiasis, and others.
Main Results:
- Infections (22.6%) and neoplasms (17.4%) were the leading causes of hematuria.
- 58% of patients presented more than 3 months after symptom onset.
- Bladder cancer patients presented late, with all diagnosed cases resulting in death within one year.
Conclusions:
- Hematuria in this cohort was predominantly non-schistosomal (86%).
- Urethrocystoscopy and intravenous urography were highly effective diagnostic tools.
- Prompt and thorough investigation of hematuria is essential for improved patient outcomes, particularly in cases of malignancy.