Hello,

Thanks for your query.

Gross hematuria may occur due to several reasons. In young adults, infection or stones are more likely causes. Whereas, in older persons, it may be due to malignancy or infection.

You have a negative ultrasound and urine cytology and seemed to have responded to a course of antibiotics. It is more likely that you had an episode of infection which has settled.

It would be advisable to repeat a urine test after a week. If the urine test continues to show red blood cells, you should consider a Computerized Tomography (CT) scan of the urinary tract in consultation with your urologist.

I hope I have answered your query.

I will be happy to answer any follow-up queries that you may have.

Thanks.
Dr Vineet Malhotra

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Hello,

Thanks for your response

A negative cat scan, cystoscopy and urine cytology practically rules out the possibility of malignancy within the urinary tract. If you are not on any blood thinning medication,
it seems likely that this was an episode of infection which has now settled.

I would advise you to repeat your urine test after a week and see if red blood cells persist. Microscopic hematuria may persist for some time after control of infection.
If they persist for longer than a month, your urologist might consider diagnostic flexible ureteroscopy to see for some rare cause of persistent hematuria. (Malformation of blood vessel within ureter or kidney).
I am of the opinion that you are most likely dealing with a urinary infection and should recover soon.

I hope I have answered your query.

I will be happy to answer any follow-up questions that you may have.

If you are satisfied with the response, please close the discussion.

Wishing you good health

Regards.
Dr Vineet Malhotra

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Hello,

Thanks for your response.

You have had gross hematuria and trace blood in your urine specimen which may occur due to various reasons. Since your urine specimen is now clear, a simple follow-up routine urine analysis at three weeks should suffice.

There has never been any suggestion of malignancy in any of your test reports and visiting a cancer center for this may seem to be "overkill".

However, if you feel you will be satisfied once they have reviewed your reports, you may choose to do so.

I would still like to think that you had an episode of infection which has now settled.

I hope I have answered your query.

I will be happy to answer any follow-up questions that you may have.

If you are satisfied with the response, please close the discussion.

Wishing you good health.

Regards.
Dr Vineet Malhotra

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