Microscopic Haematuria

This condition is treated in the Nephrology (Renal) clinic.

Pre-referral work-up

History

Who is more likely to require a Nephrologist before a Urologist?

• Glomerular Haematuria: Presence of Proteinuria with Haematuria is highly suggestive of a glomerular source (particularly in absence of other explanations for proteinuria- i.e.: known diabetes)
• Glomerular Haematuria with decline in Kidney Function: See Red Flags section of this page.
• Isolated Microscopic Haematuria in patients under 35-40 year old age with no risk factors for urothelial lesions (i.e.: no significant smoking history, occupational exposure or complex urological history

All referrals should comply to the outpatient information for clinicians page, referral standards and include in particular:

• Duration of haematuria
• Associated symptoms including diabetes
• Physical examination including blood pressure
• Smoking history, occupational history especially exposure to chemicals
• Past urological/renal history

Tests

• MSU
• Renal ultrasound
• FBE
• U&E eGFR

Interim/GP management

To refer a patient with this condition, please see the Nephrology (Renal) clinic page for the full referral process and templates.

Some patients will require referral from Urology to Nephrology and vice versa following initial GP referral- either, before or after, respective investigations by each service.Where possible, we would be happy to arrange these referrals between the 2 services as appropriate.

For more information please see the HealthPathways Tasmania website.

For macroscopic haematuria see urology clinic guidelines

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Urgent (Category 1)

? (Glomerular Haematuria) Presence of Proteinuria and Haematuria with associated rapid unexplained decline in kidney function (over 25% decline in GFR over 6-12 weeks)

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Availability

North

Launceston General Hospital
Level 3 - Specialist Clinics

Phone: 1300 977 694
Fax: 03 6777 5227

North West

Phone: 03 6477 7746
Fax: 03 6777 5214

North West Regional Satellite Service

1 Strahan Street

South Burnie TAS 7230

South

Wellington Clinics
Phone: 03 6166 0000
Fax: 03 6234 3982