Haematuria - visible

Patient presenting with visible haematuria of any duration.

Consider:

• Loin Pain
• Symptoms of UTI
• History of renal calculi
• Bladder pain

Examination:

• Abdominal examination
• Consider DRE/PV
• Blood pressure

Investigations

• MSU
• FBC, U&E
• Consider PSA if > 40 but exclude UTI first

Almost all patients will require referral, however, if MSU positive and symptoms resolve with appropriate treatment, referral is not needed.

No imaging is required prior to referral

Refer via SCI-Gateway...Urology...Fast track Haematuria referral

Patients who have haematuria in the context of a UTI which resolves with appropriate treatment do not require further investigation.