Haematuria signifies the presence of blood in the urine. This may be either visible or non-visible (found on a urine test). Your doctor will always refer you urgently for further investigation of haematuria. One in 5 adults with visible haematuria are subsequently found to have bladder cancer and one in twelve with non-visible haematuria are diagnosed. The most common cause of blood in the urine however is infection in the urine (cystitis). Younger people, or those with a single finding of blood in the urine on testing usually do not require investigation.
You will have a full medical history and examination performed. This includes a rectal examination to assess the prostate. Urine will be sent to look for infections and blood taken to check on kidney function. A PSA test is also usually performed. Most of these tests will be done by your referring G.P. A specialist will arrange a scan of your urinary system (either a CT scan or ultrasound) and will suggest a cystoscopy (telescopic investigation of the bladder) which can be done either under local or general anaesthetic.