Blood in Urine (Hematuria)

  • Medical Author: Gary D. Steinberg, MD
  • Medical Author: G. Joel DeCastro, MD
  • Medical Editor: Melissa Conrad Stöppler, MD
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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How is blood in urine treated?

Treatments for hematuria vary widely and depend on the reason for the bleeding. It is important to note that quite often no cause is found for the hematuria. This should not be a source of major concern, however, since an appropriate workup effectively rules out the most serious causes of hematuria (for example, cancer). In cases where a workup is negative and the cause of the hematuria remains unknown, observation with repeat urinalyses is a reasonable option. A blood test to check kidney function and a blood-pressure check should be done as well. Caucasian men over 50 should discuss with their doctor an annual prostate-specific antigen (PSA) blood test which is used to screen for prostate cancer. Prostate screening in African Americans traditionally begins at age 45 and in all races, a history of prostate cancer in close family members may indicate an earlier start of screening.

Further discussion of the treatment for hematuria would depend upon the results of the workup and the exact cause for the hematuria. The urologist who performs this examination is responsible for recommending any further treatment or workup that would be necessary.

Previous contributing author: Mark H. Katz, MD

Medically reviewed by Michael Wolff, MD; American Board of Urology REFERENCES:

"Etiology and evaluation of hematuria in adults"
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Medically Reviewed by a Doctor on 2/24/2016
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