Hematuria (Blood In Urine) Treatment In Delhi, India
Blood in urine, medically known as hematuria, is a concerning symptom that requires immediate evaluation by a qualified urologist. Hematuria can present as either gross hematuria (visible blood in urine) or microscopic hematuria (blood detected only under a microscope). If you notice blood in your urine, it’s essential to consult an experienced urologist like Dr. Vijayant Govinda Gupta, a specialist in Hematuria (Blood In Urine) Treatment in Delhi, India.
Video On Hematuria Treatment In Delhi India
Hematuria (Blood In Urine) Definition
Hematuria refers to the presence of red blood cells (RBC) in urine. Under normal conditions, the kidneys filter a small number of RBCs into the urine daily. However, since the normal urine output is at least 1 liter per day, only up to 2 RBCs per high-power field (HPF) should be visible under a microscope.
Types of Hematuria
- Microscopic Hematuria – Blood in urine is not visible to the naked eye but detected through a urine test.
- Gross Hematuria – Blood is visible in the urine, making it appear pink, red, or cola-colored. It may also present as blood clots.
Hematuria can be alarming as it might signal a serious underlying condition like cancer, infection, or stones. Fortunately, in about 95% of cases, the cause of hematuria is benign and treatable. However, this symptom warrants a thorough evaluation to rule out life-threatening causes.
Microscopic Hematuria- RBC In Urine Examination
If your urine appears normal, but a urine test reveals more than 2 RBCs per high-power field, it is termed microscopic hematuria.
Risk of Cancer in Microscopic Hematuria
- The chances of microscopic hematuria indicating cancer are approximately 2%.
- However, there are several other potential causes that require evaluation and treatment.
Common Causes of Microscopic Hematuria
- Kidney Stones – Stones in the kidneys or urinary tract can cause injury and bleeding.
- Urological Cancers
- Kidney Cancer
- Bladder Cancer
- Prostate Cancer
- Ureter Cancer
- Benign Prostatic Hyperplasia (BPH) – Enlarged prostate can cause hematuria.
- Urinary Tract Infections (UTIs) – Infection in the bladder or kidneys can cause irritation and bleeding.
- Sexually Transmitted Diseases (STDs) – STDs can lead to urinary tract inflammation and bleeding.
- Urethral Stricture – Narrowing of the urethra can cause injury and bleeding.
Outcome of Microscopic Hematuria Workup
- A cause is identified in 98% of cases after a complete workup.
- If no cause is found, follow-up and monitoring are required every 6 months to rule out emerging issues.
Gross Hematuria / Blood In Urine
If you notice red, pink, or cola-colored urine or pass blood clots, it is called gross hematuria.
Risk of Cancer in Gross Hematuria
- The chances of gross hematuria being linked to cancer increase to 20%.
- However, 80% of cases of gross hematuria are due to non-cancerous causes.
Hematuria Without Pain
Hematuria without pain is more concerning than hematuria with pain as it could suggest cancer or another serious underlying condition.
Tests Needed To Diagnose Hematuria
To diagnose the underlying cause of hematuria, a urologist may recommend the following tests:
1. Blood Tests
- Serum Creatinine – To evaluate kidney function.
- Serum PSA – To assess prostate health (for men).
- Coagulation Profile – To check for bleeding disorders.
- Liver Function Tests – To rule out liver-related causes of bleeding.
- Platelet Count – To assess blood clotting function.
2. Radiological Imaging
- Contrast-Enhanced CT Scan – Provides detailed imaging of the kidneys and urinary tract.
- MRI – Useful for soft tissue evaluation.
- Ultrasound – A non-invasive method to assess the kidneys and bladder.
3. Urine Tests
- Urine Culture – To identify any infections.
- Urine Microscopy – To detect RBCs and other abnormalities.
- Urine Cytology – To check for cancerous cells in the urine.
4. Cystoscopy
- Cystopanendoscopy – A procedure where a thin, flexible tube with a camera is inserted into the bladder to examine the bladder and urethra directly.
Hematuria Treatment In Delhi, India
The treatment of hematuria depends on the underlying cause:
✅ Kidney Stones – Small stones may pass naturally; larger stones may require ESWL (shockwave therapy), ureteroscopy, or PCNL surgery.
✅ Urinary Tract Infections (UTI) – Treated with antibiotics.
✅ Benign Prostatic Hyperplasia (BPH) – May require medications or surgery like TURP (Transurethral Resection of the Prostate).
✅ Bladder or Kidney Cancer – Requires surgical intervention, chemotherapy, or immunotherapy depending on the stage.
✅ Urethral Stricture – May require urethral dilation or surgery.
FAQs On Hematuria Treatment In Delhi
No, hematuria is not always caused by cancer. However, it can be an early sign of bladder, kidney, or prostate cancer, which is why thorough evaluation is essential.
Sometimes hematuria caused by minor issues like mild trauma or a UTI can resolve on its own. However, it's crucial to consult a urologist to rule out serious underlying causes.
Do not ignore hematuria. Consult a urologist immediately to determine the cause and begin appropriate treatment.
Yes, if hematuria is caused by infections, BPH, or mild trauma, medications can be effective. However, structural issues like stones or cancer may require surgical treatment.
A complete hematuria workup, including blood tests, urine tests, imaging, and cystoscopy, can take 1–2 days. A treatment plan can often be initiated immediately after diagnosis.
