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Haematuria NONVISIBLE

Whilst these pages are in the process of being updated, please refer to the Scottish urological cancer guidelines:

https://www.cancerreferral.scot.nhs.uk/urological-cancers/?alttemplate=Guideline

EdRen Edinburgh Renal Unit Referral Guidance 

                                                                                                                                                                                                                                     R.M & H.S 13-05-20

Who to refer:

  • Patients aged >60 with raised WCC on blood test or dysuria/bladder pain – refer both to Urology and urinary tract USS: URGENT SUSPICION OF CANCER
  • Patient aged > 40 with no other symptoms – refer both to Urology and for USS: ROUTINE.
  • Patient aged <40y with no other symptoms and either abnormal renal function or urinary protein/creat ratio: consider referral to renal medicine.

Who not to refer:

  • Those investigated in the last 5 years for non-visible haematuria, with no new symptoms
  • Patients aged <40 with no other symptoms and normal renal function and urinary protein/creat ratio.

How to refer:

Through SCI Gateway – Western General Hospital – Urology.

Through SCI Gateway  – Radiology for urinary tract USS

Through SCI Gateway – RIE – Renal Medicine