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Urology (Expert Forum)
Microhematuria
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Microhematuria
by Gardenia, May 25, 2005 12:00AM
I am a 31-year old female and have had microhematuria indicated with every and all UA. I have recently made an effort to learn the cause.
I was referred to a urologist and he did an IVP and cytoscopy. The IVP revealed unilateral renal agenesis (enlarged as expected for a single, but no other issues). The cytoscope test revealed pseudomembranous trigonitis in the bladder neck.
My father, uncle and cousin have hereditary nephritis (which we thought to only affect males). However, my aunt also has microhematuria, but has not had any further testing.
The past year or so my blood pressure has been a bit high. I don't drink, smoke, and I eat well and exercise. I am not overweight.
My urologist mentioned referral to a nephrologist, but he waivers on being very concerned to not too concerned for further testing.
Should I press my Dr. (urologist and/or nephrologist) to continue tests to find the root cause of my microhematuria? Or if they are not too concerned and just want to monitor, should I not worry?
Thank you
I was referred to a urologist and he did an IVP and cytoscopy. The IVP revealed unilateral renal agenesis (enlarged as expected for a single, but no other issues). The cytoscope test revealed pseudomembranous trigonitis in the bladder neck.
My father, uncle and cousin have hereditary nephritis (which we thought to only affect males). However, my aunt also has microhematuria, but has not had any further testing.
The past year or so my blood pressure has been a bit high. I don't drink, smoke, and I eat well and exercise. I am not overweight.
My urologist mentioned referral to a nephrologist, but he waivers on being very concerned to not too concerned for further testing.
Should I press my Dr. (urologist and/or nephrologist) to continue tests to find the root cause of my microhematuria? Or if they are not too concerned and just want to monitor, should I not worry?
Thank you
Doctor's Answer
by Kevin Pho, MD, May 26, 2005 12:00AM
, May 26, 2005 12:00AM
With the IVP and cystoscopy, that is a pretty good lower GU tract evaluation for the cause of the hematuria.
Of course, there can be various kidney disorders that may be present despite these tests. It would be a good idea to have a nephrologist look at the urine as well as considering a kidney ultrasound for further evaluation.
If all these tests continue to be non-revealing, the hematuria can be serially monitored.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Of course, there can be various kidney disorders that may be present despite these tests. It would be a good idea to have a nephrologist look at the urine as well as considering a kidney ultrasound for further evaluation.
If all these tests continue to be non-revealing, the hematuria can be serially monitored.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
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