Macroscopic Haematuria

This condition is treated in the Urology clinic.

Pre-referral work-up

History

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

• Most patients with macroscopic haematuria will need urogenital lesions excluded in the first instance (especially true for patients over 40 years of age and in smokers)
• All older patients with microscopic haematuria are likely to require urothelial/urogenital causes excluded

All referrals should comply to referral standards and include in particular:

• Pain
• Dysuria
• Associated symptoms (urological, gynaecological)
• Vaginal examination (females) or Digital Rectal Examination(males) examination
• History of excessive bruising or bleeding at other sites
• Blood pressure

Tests

• MSU micro and culture
• Urine cytology x3
• CT Urogram (Standard Protocol)
• Triphasic CT scan with excretory urogram
• Electrolytes, Urea, Creatinine, GFR
• FBE
• Consider INR and LFTS

Interim/GP management

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

Ensure adequate BP management. Advise on obstructive symptoms and what to do in such circumstances.

For more information please see the HealthPathways Tasmania website.

For microscopic haematuria refer to Nephrology Clinic guidelines

Availability

North

Launceston General Hospital
Level 3 - Specialist Clinics

Phone: 1300 977 694
Fax: 03 6777 5227

North West

Mersey Community Hospital
Phone: 1800 636 455

South

Liverpool Clinics (Level 7)
Phone: 03 6166 0000
Fax: 03 6234 9941