The American College of Physicians offered expert advice for evaluating patients with hematuria.
Less than half of primary care providers refer patients with any degree of hematuria for urological evaluation.
Men at high-risk of bladder cancer were the most likely to be referred to urologists.
In a study of nearly 57,000 Korean patients, 6.2% had asymptomatic microscopic hematuria.
It is associated with a 20-fold increased likelihood of the malignancy, British study shows.
Urologist Ronald K. Loo, MD, of Southern California Permanente Medical Group and colleagues created and validated a Hematuria Risk Index.
Authors suggest that guidelines should be revised to exclude routine urine cytology
Men with larger prostates are at higher risk for blood in urine.
Urologists typically treat a renal cortical mass without biopsy, but this should be re-evaluated in the era of the incidental small renal cortical neoplasm.
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