1. Hematuria An article on what blood in the urine may mean. Tips on when to seek advice. http://www.camsociety.org/issues/Hematuria.htm

Hematuria Blood in the urine may be the only sign of a serious disease, either in the kidneys or in the bladder. There are two kidneys. They are located in the back, just below the ribs, one on the left and one on the right. The kidneys filter the blood and draw out water and chemicals that the body does not need. They save what useful in the body such as the blood cells and valuable chemicals. The water and waste chemicals are called urine. This fluid passes down tubes called the ureters until they reach the bladder. The bladder is a muscular sac which holds the urine until it is convenient to empty it or to void. The last tube leading to the outside is called the urethra. In the man it is long and has several parts. In the woman it is a much shorter and simple tube. Blood in the urine can come from any place in the urinary tract, from the kidney, ureter, the bladder or the urethra. While in many cases it is not due to a serious problem, in some it is the only sign of dangerous tumors or stones. Early investigation of blood in the urine is the only way to cure serious tumors without need for major surgery. Tumors in the urinary tract usually grow in the lining of the bladder. At first they are like a delicate plant; its branches are small and its roots are very shallow. At this stage it is easy to cure. As it grows it needs more blood and the roots grow stronger and deeper. Then the treatment becomes more difficult and less successful. Later when the roots grow out of the bladder or the kidney, the roots spread to other parts of the body and kill you.

2. Hematuria - Urologychannel A look at the types of hematuria, symptoms, causes, classification, diagnosis,analysis and tests. http://www.urologychannel.com/Hematuria/index.shtml

Home Search SiteMap Ask the Dr. ... Physician Board HEMATURIA Overview Types Causes Symptoms ... Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy DIAGNOSTIC TESTS CT Scan Cystoscopy MRI Scan TRUS/ Prostate Biopsy RESOURCES Anatomy Clinical Trials Education Glossary ... What Is a Urologist? Videos FOR DOCTORS ONLY Website Services Get Listed in MDLocator CME ABOUT US Healthcommunities.com Testimonials Link to urologychannel Urologkanalen (Swedish) Overview Hematuria is the presence of blood, specifically red blood cells, in the urine. Whether the blood is visible only under a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding in the genitourinary tract: the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the prostate gland (in men), the bladder, or the tube that carries urine from the bladder out of the body (urethra). Bleeding may happen once or it may be recurrent. It can indicate different problems in men and women. Causes of this condition range from non–life threatening (e.g.

3. Digital Urology Journal: Hematuria A look at hematuria, the evaluation, causes and treatment. http://www.duj.com/hematuria.html

HEMATURIA Hematuria refers to the excretion of abnormal quantities of Red Blood Cells (RBCs) into the urine. Some experts believe that any amount of RBCs in the urine seen on more than one occasion is significant. Others feel that one must have at least 2-3 RBCs seen under the microscope in order to be significant. (A small percentage of the normal population will excrete greater than 3 RBCs under the microscope.) When blood is visible with the naked eye as pink or red in the urine it is called "gross hematuria". When blood is visible only under the microscope it is called "microscopic hematuria". Evaluation Unless there is a known cause for hematuria, it must be thoroughly evaluated. The purpose of thorough evaluation is to be certain that there is not a serious reason causing the hematuria. The routine proper evaluation for someone with hematuria includes an Intravenous Pyelogram (IVP) and cystoscopy. An IVP is an x-ray which is done in order to evaluate the kidneys and ureters (tubes from kidneys to the bladder). It involves an injection of a special chemical called a "contrast agents" which helps visualize the urinary tract. Occasionally, a patient may be allergic to contrast and an alternative imaging method must be used. Cystoscopy refers to the process of looking directly into the bladder optically with a scope. At times your physician may wish to put you to sleep for this procedure, but more frequently it is done while awake. Current optical technology permits the use of very small and refined instruments for this examination. Unfortunately, the only truly effective way to evaluate the bladder for hematuria is through direct vision.

4. HEMATURIA Gu­a para el manejo y diagn³stico en el servicio de urgencias. http://www.aibarra.org/Guias/6-6.htm

HEMATURIA Carlos Sánchez David, MD. Oficina de Recursos Educacionales - FEPAFEM DEFINICION Se define como hematuria la presencia de sangre durante la micción (macroscópica). Se dice que hay hematuria microscópica cuando se detectan dos o más eritrocitos por campo en por lo menos dos exámenes del sedimento urinario. Es un signo de alerta tanto para el paciente como para el médico, ya que es indicio de enfermedad que puede ir desde una simple cistitis hasta una neoplasia maligna. EVALUACION DIAGNOSTICA Y ETIOLOGICA Cuando la hematuria se asocia con dolor lumbar, disuria, urgencia urinaria y malestar suprapúbico el origen del sangrado debe investigarse en el tracto urinario inferior. Cuando la hematuria se detecta al inicio o al final de la micción, la uretra y vejiga pueden estár comprometidas. La hematuria asociada con dolor renal tipo cólico se debe, con mucha probabilidad, a nefrolitiasis. En constraste, la hematuria microscópica secundaria a enfermedad renal difusa es habitualmente indolora y sólo identificable con el examen microscópico del sedimento urinario. La etiología en este caso es múltiple (Tabla No.1). Es necesario interpretar correctamente las hematurias bajo un contexto clínico: En el curso de una patología urológica ya conocida, la aparición de hematuria puede ser el indicio de una recidiva (tumor de la vejiga, cálculos)

5. Hematuria (blood In Urine) - Urologychannel hematuria is the presence of blood in the urine. hematuria is a sign that somethingis causing abnormal bleeding in a person s genitourinary tract the http://www.urologychannel.com/hematuria/index.shtml

Home Search SiteMap Ask the Dr. ... Physician Board HEMATURIA Overview Types Causes Symptoms ... Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy DIAGNOSTIC TESTS CT Scan Cystoscopy MRI Scan TRUS/ Prostate Biopsy RESOURCES Anatomy Clinical Trials Education Glossary ... What Is a Urologist? Videos FOR DOCTORS ONLY Website Services Get Listed in MDLocator CME ABOUT US Healthcommunities.com Testimonials Link to urologychannel Urologkanalen (Swedish) ... email this Overview Hematuria is the presence of blood, specifically red blood cells, in the urine. Whether the blood is visible only under a microscope or visible to the naked eye, hematuria is a sign that something is causing bleeding in the genitourinary tract: the kidneys, the tubes that carry urine from the kidneys to the bladder (ureters), the prostate gland (in men), the bladder, or the tube that carries urine from the bladder out of the body (urethra). Bleeding may happen once or it may be recurrent. It can indicate different problems in men and women. Causes of this condition range from non–life threatening (e.g.

6. Digital Urology Journal Hematuria A look at hematuria, the evaluation, causes and treatment. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

7. Hematuria Comentarios para el paciente sobre su padecimiento y los cuidados m©dicos necesarios. http://www.buenasalud.com/lib/ShowDoc.cfm?LibDocID=2522&ReturnCatID=11

8. Associated Urologists Information, anatomy, causes, evaluation, intravenous pyelogram, cystoscopy, other tests, and followup for hematuria. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

9. Hematuria - Urologychannel A look at the types of hematuria, symptoms, causes, classification, diagnosis, analysis and tests. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. Hematuria (Blood In The Urine) hematuria is the presence of red blood cells (RBCs) in the urine. In microscopichematuria, the urine appears normal to the naked eye, but examination under http://kidney.niddk.nih.gov/kudiseases/pubs/hematuria/

Email To A Friend Home : Hematuria (Blood in the Urine) Hematuria (Blood in the Urine) Several conditions can cause hematuria, most of them not serious. For example, exercise may cause hematuria that goes away in 24 hours. Many people have hematuria without any other related problems. Often no specific cause can be found. But because hematuria may be the result of a tumor or other serious problem, a doctor should be consulted. To find the cause of hematuria, or to rule out certain causes, the doctor may order a series of tests, including urinalysis, blood tests, intravenous pyelogram, and cystoscopic examination. Urinalysis is the examination of urine for various cells and chemicals. In addition to finding RBCs, the doctor may find white blood cells that signal a urinary tract infection or casts (groups of cells molded together in the shape of the kidneys' tiny filtering tubes) that signal kidney disease. Excessive protein in the urine also signals kidney disease. Blood tests may reveal kidney disease if the blood contains high levels of wastes that the kidneys are supposed to remove. An intravenous pyelogram (IVP) is an x ray of the urinary tract. An IVP may reveal a tumor, a kidney or bladder stone, an enlarged prostate, or other blockage to the normal flow of urine.

11. Enfoque Diagnótico De La Hematuria Gu­a de diagn³stico dirigida a m©dicos. http://med.unne.edu.ar/revista/revista101/enfoque_diag_hematuria.htm

ENFOQUE DIAGNOSTICO DE LA HEMATURIA Resumiendo, existe dos clases de hematuria: Hematuria Hemoglobinuria: Pseudohematuria: Mioglobinuria: Uretrorragia: De origen renal De origen ureteral HEMATURIA: De origen vesical De origen general, extraurinario Causas ureterales Causas vesicales Causas extrarrenales de hematuria Interrogatorio: Prueba de los tres vasos de Guyon: a) b) c) Laboratorio: Biopsia: Resumen: 1. No todas las hematurias son de causa urinaria. BIBIOGRAFIA: Volver al Indice

12. Evaluation Of Asymptomatic Microscopic Hematuria In Adults - Evaluation of Asymptomatic Microscopic hematuria in Adults. TIMOTHY R. THALLER, M.D. University of Kansas Medical Center, Kansas City, Kansas http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

13. Connecticut Children's Medical Center - Nephrology Provides primary and consultative services to patients with a variety of renal disorders including hematuria, proteinuria, nephrotic syndrome, acute renal failure, recurrent urinary tract infection, congenital renal anomalies including hydronephrosis and cystic diseases of the kidneys, kidney stones, chronic renal failure, end stage renal disease, hypertension, and a variety of fluid and electrolytes disorders. http://www.ccmckids.org/services/nephrology.asp

Services Programs Site Search Overview Staff Office Location Location: 2L Telephone: 860.545.9395 Fax: 860.545.9914 Contact Person Majid Rasoulpour, MD, Director E-mail mrasoul@ccmckids.org The Division provides primary and consultative services to patients with a variety of renal disorders including hematuria, proteinuria, nephrotic syndrome, acute renal failure, recurrent urinary tract infection, congenital renal anomalies including hydronephrosis and cystic diseases of the kidneys, kidney stones, chronic renal failure, end stage renal disease, hypertension, and a variety of fluid and electrolyte disorders. In collaboration with Hartford Hospital's dialysis and transplant program, the Nephrology Division provides acute and chronic peritoneal dialysis and renal transplantation. Gambro provides hemodialysis to infants and children at Connecticut Children's Medical Center. Doctor Search Services Programs Investigators ... Email the President

14. Asymptomatic Microscopic Hematuria In Adults Summary Of The AUA Asymptomatic Microscopic hematuria in Adults Summary of the AUA Best Practice Policy Recommendations. GARY D. GROSSFELD, M.D. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

15. Asymptomatic Microscopic Hematuria In Adults: Summary Of The AUA Best Practice P Asymptomatic microscopic hematuria has causes ranging from minor findings The prevalence of asymptomatic microscopic hematuria varies from 0.19 percent http://www.aafp.org/afp/20010315/1145.html

Advanced Search AAFP Home Page Journals Vol. 63/No. 6 (March 15, 2001) Asymptomatic Microscopic Hematuria in Adults: Summary of the AUA Best Practice Policy Recommendations GARY D. GROSSFELD, M.D., University of California, San Francisco, School of Medicine, San Francisco, California J. STUART WOLF, JR., M.D., University of Michigan Medical School, Ann Arbor, Michigan MARK S. LITWIN, M.D., M.P.H., University of California, Los Angeles, Schools of Medicine and Public Health, Los Angeles, California HEDVIG HRICAK, M.D., PH.D., Memorial Sloan-Kettering Cancer Center, New York, New York CATHRYN L. SHULER, M.D., Kaiser Permanente, Portland, Oregon DAVID C. AGERTER, M.D., Mayo Clinic, Rochester, Minnesota PETER R. CARROLL, M.D., University of California, San Francisco, School of Medicine, San Francisco, California A PDF version of this document is available. Download PDF now (10 pages / 101 KB). More information on using PDF files. B lood in the urine (hematuria) can originate from any site along the urinary tract and, whether gross or microscopic, may be a sign of serious underlying disease, including malignancy. The literature agrees that gross hematuria warrants a thorough diagnostic evaluation. By contrast, microscopic hematuria is an incidental finding, and whether physicians should test for hematuria in asymptomatic patients remains at issue. No major organization currently recommends screening for microscopic hematuria in asymptomatic adults, even though bladder cancer is the most commonly detected malignancy in such patients.

16. Microscopic Hematuria Familydoctor.org Information about microscopic hematuria from the American Academy of Family Physicians. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Evaluation Of Asymptomatic Microscopic Hematuria In Adults - September 15, 1999 At present, routine screening of all adults for microscopic hematuria with dipstick However, once asymptomatic microscopic hematuria is discovered, http://www.aafp.org/afp/990915ap/1143.html

Advanced Search AAFP Home Page Journals Vol. 60/No. 4 (September 15, 1999) Evaluation of Asymptomatic Microscopic Hematuria in Adults TIMOTHY R. THALLER, M.D University of Kansas Medical Center, Kansas City, Kansas LESTER P. WANG, M.D. Valley Urology Center, Renton, Washington A patient information handout on microscopic hematuria, written by the authors of this article, is provided on page 1154. M icroscopic hematuria is defined as the excretion of more than three red blood cells per high-power field in a centrifuged urine specimen. Because the degree of hematuria bears no relation to the seriousness of the underlying cause, hematuria should be considered a symptom of serious disease until proved otherwise. Microscopic hematuria is defined as the excretion of more than three erythrocytes per high-power field, but the degree of hematuria does not correlate with the seriousness of the underlying cause of the bleeding. The widespread use of dipstick urinalysis in clinical practice and health screening has resulted in increased recognition of microscopic hematuria and has raised concerns about the appropriate diagnostic investigation. The prevalence of asymptomatic microscopic hematuria in adult men and postmenopausal women has been reported to range from 10 percent to as high as 20 percent. Routine screening of all adults for microscopic hematuria with dipstick testing is not currently recommended because of the intermittent occurrence of this finding and the low incidence of significant associated urologic disease.

18. EMedicine - Hematuria Article By Deogracias Pena, MD hematuria hematuria is one of the most common urinary findings that bring children to the attention of the pediatric nephrologist. Generally http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

19. EMedicine - Hematuria : Article By Deogracias Pena, MD hematuria hematuria is one of the most common urinary findings that bringchildren to the attention of the pediatric nephrologist. Generally, hematuria is http://www.emedicine.com/ped/topic951.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Pediatrics Nephrology Hematuria Last Updated: August 12, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: isolated hematuria, glomerular hematuria, nonglomerular hematuria AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Deogracias Pena, MD , Medical Director of Dialysis, Cook Children's Medical Center; Clinical Associate Professor, Department of Pediatrics, Texas Tech University School of Medicine Deogracias Pena, MD, is a member of the following medical societies: American Academy of Pediatrics American Medical Association , and American Society of Pediatric Nephrology Editor(s): Richard Neiberger, MD, PhD , Director of Pediatric Renal Stone Disease Clinic, Associate Professor, Department of Pediatrics, Division of Nephrology, University of Florida College of Medicine and Shands Hospital; Robert Konop, PharmD

20. EMedicine Health - Blood In Urine Overview Consumer health resource center providing information on causes, implications, and treatment for hematuria. http://www.emedicinehealth.com/articles/8828-1.asp

Search September 9, 2005 Registration Healthcare Professionals You are in: Kidneys and Urinary System Blood in the Urine Blood in Urine Overview Blood in the urine is a common problem. The medical term for red blood cells in the urine is hematuria. Sometimes blood in the urine is a sign of a more serious problem in the urinary tract. Other times it is not serious and requires no treatment. The urinary tract consists of the following structures: Kidneys: You have 2 kidneys, located closer to your back than your front at about waist level. The kidneys filter water and waste out of blood to produce urine. Ureters: These narrow, hollow tubes carry urine from the kidneys to the bladder. Bladder: The bladder is a balloonlike organ that holds urine until it is convenient for you to empty your bladder (urinate). Urethra: This narrow, hollow tube carries urine from the bladder to the outside of your body. The flow of urine is controlled by internal and external sphincter muscles, which tighten or relax around the urethra, holding or releasing urine. In men, the genitals and prostate are considered part of the urinary system. The prostate surrounds the urethra in men. It is made up of glands that secrete a fluid that is part of semen. The prostate often becomes enlarged in older men.

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