Visible haematuria

GGC - Primary Care
NHS GGC

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See also:

Primary care assessment

  • History: Pain, symptoms of UTI, stone, previous malignancy
  • Examination: Abdomen, consider DRE/PV, BP
  • Investigation: U&Es, FBC, MSSU, Urine PCR or ACR, consider coagulation screen
  • Await MSSU and treat if clinically appropriate proven UTI

Criteria for USC Referral to Urology

  • ≥45 with single episode without UTI or recurs/persists after treatment of UTI
  • <45 with more than 1 episode without UTI or recurs/persists after treatment of UTI

Abbreviations

  • ACR, albumin to creatinine ratio
  • BP, blood pressure
  • CTU, computerised tomography urogram
  • DRE, digital rectal exam
  • FBC, functional bladder capacity
  • GP, general practice
  • MSSU, midstream specimen of urine
  • PCR, protein creatinine ratio
  • PV, vaginal examination
  • U&Es, urea and electrolytes
  • US, ultrasound
  • USOC, urgent suspicion of cancer
  • UTI, urinary tract infection
  • 2WW, 2-week wait

References

CfSD. Scottish Referral Guidelines for Suspected Cancer. August 2025.

Editorial Information

Last reviewed: 12/08/2025

Next review date: 30/06/2026

Author(s): Consultant Urologist.

Version: 1

Approved By: Urology South and North Sector