Blood in the Urine (Hematuria)
Even one episode deserves a complete evaluation.
For: Anyone with visible blood in the urine, or blood found on a urinalysis.
Overview
Understanding Blood in the Urine
Hematuria is blood in the urine, either visible or detected microscopically on a routine test. Most causes turn out to be benign, but hematuria is also the most common presenting sign of urinary tract cancer, so a structured evaluation of the kidneys, ureters, and bladder is the standard of care even after a single episode.
Symptoms
Signs worth an evaluation
- Pink, red, or cola-coloured urine
- Blood detected on a urinalysis with no visible change
- Clots in the urine, or difficulty urinating because of clots
- Flank pain, which may suggest a stone or kidney source
- Burning or urgency, which may suggest infection or bladder irritation
Causes
Causes and risk factors
- Urinary tract infection or prostatitis
- Kidney or bladder stones
- Benign prostatic enlargement
- Bladder, kidney, or upper tract urothelial cancer
- Kidney (glomerular) disease, trauma, or vigorous exercise
- Anticoagulant medication, which does not remove the need for evaluation
Diagnosis
How we evaluate it
- 1Repeat urinalysis with microscopy and urine culture
- 2Urine cytology in higher-risk patients
- 3CT urogram, or renal ultrasound where contrast is contraindicated
- 4Cystoscopy to inspect the bladder and urethra directly
- 5Renal function testing, with nephrology referral if a glomerular cause is suspected
Testing is chosen for your situation. Not every patient needs every step listed here.
Treatment
Treatment options we offer
Treat the identified cause
Infection, stones, or prostate-related bleeding are managed directly once confirmed.
Cystoscopic management
Biopsy or resection of any bladder lesion identified during evaluation.
Cancer-directed care
If a urothelial or renal tumor is found, staging and treatment begin immediately with a urologic oncology plan.
Structured surveillance
For unexplained persistent microscopic hematuria, a defined follow-up interval rather than open-ended worry.
Why choose PSUMG
Specialist care for blood in the urine, close to home.
Full hematuria workups completed in one practice, including cystoscopy
Risk-stratified evaluation following current AUA guidance
Direct urologic oncology follow-through if anything is found
Most hematuria has a benign explanation. The purpose of the evaluation is to prove that quickly and definitively.
Learn More
For additional patient education, explore these trusted resources.
Medical Disclaimer. This information is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider regarding your individual medical needs.