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COVID-19 update:  Our hospital is still fully open for appointments and admissions, however visitors are not permitted.

Haematuria clinic

Blood in the urine is commonly known as haematuria. Haematuria most commonly presents in small quantities and is often picked up on a routine screening by a simple dipstick test. Haematuria can also be diagnosed when urine is examined under the microscope (microscopic haematuria) or seen as red or brown discolouration of the urine (macroscopic haematuria).

Blood should not normally appear in the urine. The presence of blood therefore means that there could be a problem in any part of the urinary tract, from the kidneys, ureters, bladder, prostate gland or the urethra.


What is the likelihood the symptoms are Serious?

It is rare that patients under the age of 40 years with microscopic haematuria have a serious problem.

In all other cases the presence of haematuria should be investigated.

  • 50% of patients with haematuria will have an abnormality
  • 10% of patients with microscopic haematuria will have a malignancy
  • 35% of patients with macroscopic haematuria will have an underlying tumour

The Haematuria clinic service

We have a wide range of specialists in haematuria, urology and urological oncology that can assess the likelihood of disease. A positive dipstick test for blood in isolation can often be distressing and in all cases where symptoms exist, physical examination must also be undertaken and further investigations performed to localise the cause.

All patients should be seen by a specialist urologist:

  • A physical examination is required including a prostate examination for men and gynaecological organs in the female.
  • Samples of urine must be sent for microscopy and culture [investigation of infection], and urine cytology [investigation of abnormal cells in the urine].
  • Arrange a blood test to establish kidney function and signs of infection or clotting abnormality.
  • Undertake an ultrasound examination of the renal system including the bladder, and a plain abdominal x-ray.
  • Perform a cystoscopy, which is an investigation involving a tube being passed into the bladder.
  • In some cases an intravenous urogram (IVU) or a CT scan will be undertaken to visualise the renal system to check for obstruction.

It is important to remember that the job of the specialist is to diagnose early and treat any serious pathology but more commonly to exclude serious pathology and to reassure the patient.

We also have expert radiologists who specialise in imaging of the urinary tract and pelvis and who work closely with their urology colleagues to provide the very best in diagnosis.

We aim to provide you with a fast track service to ensure you are fully informed and to the options available to you.


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    Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, ENT, as well as a private GP practice and our urgent care centre, Casualty First, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

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    If you have any questions relating to treatment options or pricing information then get in touch with us by filling out one of our contact boxes or giving us a call on 020 7432 8297.

    Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

     If you are self-paying you don’t need a referral from your GP. You can simply refer yourself and book an appointment.

    If you have medical insurance (e.g. Bupa, Axa PPP, Aviva), you will need to contact your insurer to get authorisation for any treatment and, in most cases, you will require a referral letter from your GP.

    If you do not have a GP, then we have an in-house private GP practice that you can use. Alternatively we can suggest the most appropriate course of action for you to take, given your location and individual circumstance.

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