Evaluating Hematuria Mayo Clinic Talks

Guest: Aaron M. Potretzke, M.D. (@potretzke)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Microscopic hematuria, and less commonly gross hematuria, are conditions commonly seen by the primary care provider. Malignancy is the most ominous cause of hematuria. Fortunately, other causes are much more likely. Since this is a relatively common health condition, when should we investigate hematuria and what should the evaluation consist of? How do we evaluate a patient’s risk for urinary tract malignancy? Dr. Aaron Potretzke, a urologist at Mayo Clinic joins us to discuss these questions.
Specific topics:
Definition of hematuria
Benign causes of hematuria
Risk of malignancy in low, medium, and high-risk patients
Stratifying malignancy risk in patients for genitourinary malignancy
Recommended evaluation for patients with hematuria
How to manage patients with persistent hematuria despite a negative evaluation
Role of urine cytology in the evaluation of hematuria
Additional resources:
American Urological Association hematuria guideline and algorithm: https://www.auanet.org/guidelines/guidelines/microhematuria
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