Why is my husband having painless hematuria since a year?

Question

Hello doctor,

My husband, who is 36 years old, has had painless hematuria since last year. The episodes are not defined, they are present for a month or sometimes as less as a week. MRI, CT scan, and cystoscopy all show normal findings except hyperemia in the bladder. There are stones in his kidney and grade I prostate enlargement, but all these are less likely to cause hematuria, as per our urologists.

Kindly suggest what should be done further.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

If your husband has already done urine cytology, MRI (magnetic resonance imaging), CT (computed tomography)scan, and cystoscopy, all show normal findings except hyperemia in the bladder. PSA (prostate-specific antigen), urine routine examination, culture, and all other investigations are normal, then just keep a follow-up every year with the same investigations.

Is he a smoker?
Any history of upper respiratory infection or fever in the last year?

Please revert with answers.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Then you do not have any other option than to follow up. Repeat a few investigations after six months, like urine cytology, urine routine examination, and PSA (prostate-specific antigen). Repeat CT scan and cystoscopy after a year.

I hope this helps you.

Thank you.