The haematuria clinic

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6925.356 (Published 05 February 1994) Cite this as: BMJ 1994;308:356
  1. P Marazzi,
  2. R Gabriel

    Haematuria, macroscopic or microscopic, suggests the presence of a neoplasm of the urinary tract until this has been excluded. At least for bladder tumours,1, 2 early diagnosis and treatment should lead either to cure or to improved survival. If so, clinics set up specifically to investigate patients with haematuria promptly should benefit patients.

    In a recent retrospective study Paul and colleagues reported that 40 patients with bladder cancer received significantly faster treatment from an integrated haematuria clinic than they would have done before the clinic was set up.2 Their study of 304 patients presenting with haematuria (average age 60; range 15 to 100 years) also provides interesting data on the causes of haematuria. Urinary tract infection was the commonest diagnosis, made in one quarter of cases. That so many …

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