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What is the yield of diagnostic evaluation for visible hematuria, and what happens to patients with initially negative test results? In this report, U.K. urologists present diagnostic outcomes for 1804 adults (median age, 67) with visible hematuria who were referred by primary care physicians to a university “hematuria clinic.” All patients underwent upper-tract imaging, cystoscopy, and urine cytology testing. Patients whose evaluation yielded no diagnoses, and who had recurrent visible hematuria more than 1 year after their initial evaluations, were fully reevaluated.
The most common diagnoses were bladder cancer (18%), “large bleeding prostate” (13%), and renal or ureteral calculi (6%); infections, renal cancer, bladder stones, and urethra…