Fast Track Investigation of Haematuria

Reason: Blood in urine is considered to be sinister until proven otherwise.

Blood in urine (Haematuria) can be due to urinary infection, interstitial cystitis, kidney stones, trauma, kidney cancer, bladder cancer, prostate cancer, cancer of the urinary tract elsewhere, medical kidney diseases, excessive strenuous activities, bleeding disorders, blood-thinning medications, or the menstrual cycle.

Diagnostic Investigations Offered

  • Urine Microscopy & Culture: To check for infection, kidney markers, or inflammatory cells.
  • Flexible Cystoscopy: A quick, local-anaesthetic procedure using a thin, flexible telescope to directly inspect the lining of your bladder and urethra.
  • Upper Tract Imaging: High-resolution Ultrasound or Multiphasic Contrast-Enhanced CT Urography (CTU) to evaluate the kidneys and ureters.
  • Blood Tests: Kidney function (eGFR/Creatinine) and Full Blood Count.

Treatments

Depending on the rapid diagnostic results, a tailored treatment plan will be implemented ranging from directed antibiotic therapy for infections, to minimally invasive laser stone surgery (lithotripsy/ureteroscopy), or endoscopic bladder tumor resection (TURBT) and surveillance plans for lesions.

Haematuria Investigation