Visible haematuria is the most common presenting symptom of bladder and kidney cancer. For further information on epidemiology/presenting features/risk factors and the overlap in presentation with other cancers see here.
D.M & H.S 18-02-26
Who to refer:
Refer as Urgent Suspicious of Cancer:
Patients ≥45 with no symptoms of UTI AND negative MSU.
Patients of any age with haematuria associated with UTI symptoms OR positive MSU if:
- Visible haematuria persists despite treatment
- Or recurs after treatment.
Refer Urgently:
Patients <45y with no symptoms of UTI
Refer as “advice only”
Patients with recurrent haematuria who have had recent (within 6 months) negative investigations for haematuria. Refer as “advice only” and the triaging Urologist will decide if any further action is required on a case by case basis.
Who not to refer:
Those with UTI symptoms OR positive MSU in whom visible haematuria settles with treatment and does not recur.
If recurrent UTIs see recurrent UTI RefHelp pages
How to refer:
Through SCI Gateway >Western General Hospital >Urology>LI Visible Haematuria
