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Microscopic hematuria - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Urinary and Bladder Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   I had microscopic hematuria and went for a ultrasound that showed I had Pelvicentesis (sp?) The Urologist said there was no Hydronephrosis, and he we would do another Ultrasound in a year. I have a history of Urinary Retention and occasional UTI's but is this something I should be worried about?? The Urologist was not overly concerned...
Doctor :   Hi
User :   Hello
Doctor :   let me read
User :   I'm female and 32 if that makes any difference...
Doctor :   what symptoms did you had that you had to undergo the urine examination ?
User :   I had a UTI a couple months ago, was treated with antibiotics and the went for f/u at MD office, did another urine test just in case and still showed the Hematuria....So she sent me to Urology...
Doctor :   ok
Doctor :   UTi is quite common in females
Doctor :   and with the present microscopic hematuria and with no other findings clinically and symptomatically you need not get worried
User :   What about that Pelvicentesis? Can it lead to other problems. Everything on the internet is about newborns...Not much on adults..
Doctor :   are you on any medications ?
User :   Yes, I take Asacol for Ulcerative Colitis and a Thyroid Suppliment s/p Thyroidectomy due to Thyroid Cancer...
User :   As you can see have not had the best luck in health.....So I get nervous...
Doctor :   it usually do not lead to any other problems
User :   That's good to know...
Doctor :   can i know the urine findings - microscopy
Doctor :   apart from positive for blood cells any casts, wbc were found ?
User :   Neither my PCP nor the Urologist mentioned any other findings in the lab work. I also had a cystoscopy and that was normal....
Doctor :   ok
Doctor :   any idea what did the ultrasound say ?
User :   He mentioned also doing another test to inject dye in the bladder to see if went up to the kidney. But he was still not convinced it was necessary, the ultrasound showed normal bladder and left kidney with right kidney pelvicentisis....
Doctor :   ok
User :   so what is that exactly? MD mentioned stretching of some sort?
Doctor :   hematuria might be the result of medication for other medical conditions and the recent UTI you suffered
User :   I mean the Pelviectasis
User :   of the kidney
Doctor :   since all the necessary possible investigations having been done and found nothing related to the urogenital system
Doctor :   you need not worry
User :   Well the kidney is abnormal right?
Doctor :   anual evaluation is what done for the microscopic hematuia now for the next 3 years
Doctor :   regarding pelvicentesisi
Doctor :   it is some thing to do with the position of the kidney and it is more of importance if any procedure is done on the kidneys
Doctor :   it is more so for the doctor information
User :   Hmm, okay.
User :   So, I guess I dont need to worry?
Doctor :   no need to worry
Doctor :   as suggested a follow up after one year for the hematuria
User :   Okay, I appreciate the peace of mind.
User :   I will..
Doctor :   is there anything else i can help you with ?
User :   No, I was worried it would turn into something worse like cancer or something...
Doctor :   presently all investigations have been done to rule out the possibility of cancer and you need not worry in this regard
Doctor :   thanks for consulting health care magic
User :   Thank you!
User :   Good Bye!
Doctor :   bye for now
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