{"id":3984,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/haematuria-visible\/"},"modified":"2026-02-19T09:59:49","modified_gmt":"2026-02-19T09:59:49","slug":"haematuria-visible","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/urology\/haematuria-visible\/","title":{"rendered":"Visible Haematuria"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Visible-haematuria-flow-chart-final-2026.pdf\" type=\"application\/pdf\" style=\"width:100%;height:980px\" aria-label=\"Embed of Visible haematuria flow chart final 2026.\"><\/object><a id=\"wp-block-file--media-fc5b0e6c-01e3-4c37-b524-d5aee4839baa\" href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Visible-haematuria-flow-chart-final-2026.pdf\">Visible haematuria flow chart final 2026<\/a><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Visible-haematuria-flow-chart-final-2026.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-fc5b0e6c-01e3-4c37-b524-d5aee4839baa\">Download<\/a><\/div>\n\n\n\n<p>Visible haematuria is the most common presenting symptom of bladder and kidney cancer. &nbsp; For further information on epidemiology\/presenting features\/risk factors and the overlap in presentation with other cancers <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Visible-haematuria-additional-info-2026.pdf\" data-type=\"attachment\" data-id=\"26968\" target=\"_blank\" rel=\"noreferrer noopener\">see here<\/a><strong>.<\/strong><\/p>\n\n\n\n<p class=\"has-standard-black-color has-text-color\"><strong>D.M &amp; H.S 18-02-26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p><strong>Refer as Urgent Suspicious of Cancer:<\/strong><\/p>\n\n\n\n<p>Patients <strong>\u2265<\/strong>45 with no symptoms of UTI AND negative MSU.<\/p>\n\n\n\n<p>Patients of any age with haematuria associated with UTI symptoms OR positive MSU if:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Visible haematuria persists despite treatment<\/li>\n\n\n\n<li>Or recurs after treatment.<\/li>\n<\/ul>\n\n\n\n<p><strong>Refer Urgently:<\/strong><\/p>\n\n\n\n<p>Patients &lt;45y with no symptoms of UTI<\/p>\n\n\n\n<p><strong>Refer as &#8220;advice only&#8221;<\/strong><\/p>\n\n\n\n<p>Patients with recurrent haematuria who have had recent (within 6 months) negative investigations for haematuria. Refer as \u201cadvice only\u201d and the triaging Urologist will decide if any further action is required on a case by case basis.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p>Those with UTI symptoms OR positive MSU in whom visible haematuria settles with treatment and does not recur.<\/p>\n\n\n\n<p>If recurrent UTIs see recurrent UTI RefHelp pages<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p>Through SCI Gateway &gt;Western General Hospital &gt;Urology&gt;LI Visible Haematuria<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Visible haematuria is the most common presenting symptom of bladder and kidney cancer. &nbsp; For further information on epidemiology\/presenting features\/risk factors and the overlap in presentation with other cancers see here. D.M &amp; H.S 18-02-26<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4500,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[670],"class_list":["post-3984","page","type-page","status-publish","hentry","category-haematuriavisible"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/urology\/haematuriavisible\/\" rel=\"tag\">Visible haematuria<\/a>","rttpg_excerpt":"Visible haematuria is the most common presenting symptom of bladder and kidney cancer. &nbsp; For further information on epidemiology\/presenting features\/risk factors and the overlap in presentation with other cancers see here. D.M &amp; H.S 18-02-26","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3984","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3984"}],"version-history":[{"count":15,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3984\/revisions"}],"predecessor-version":[{"id":27012,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3984\/revisions\/27012"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4500"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3984"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3984"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}