HomeAnswersUrologyhematuriaMy husband suffers from painless hematuria for a year. How to manage it?

Why is my husband having painless hematuria since a year?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At April 7, 2017
Reviewed AtJune 30, 2023

Patient's Query

Hello doctor,

My husband who is 36 years old, is having painless hematuria since last year. The episodes are not defined, it is 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 prostrate enlargement, But, all these are less likely to cause hematuria as per our urologists. Kindly suggest what should be done further.

Hello,

Welcome to icliniq.com.

If your husband has already done urine cytology, CT scan, cystoscopy, PSA (prostate-specific antigen), urine routine examination, culture, and all other the investigation 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?

Patient's Query

Hello doctor,

Thank you for replying. He does not smoke and has never had a fever in last few years.

Hello,

Welcome back to icliniq.com.

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

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Praveen Pushkar
Dr. Praveen Pushkar

Urology

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