Hematuria

What is this condition?

Hematuria is when you have blood in your urine. Sometimes the amount of blood is very small and can only be detected with urine tests or under a microscope. This is called microscopic hematuria.

Gross hematuria is when you actually see blood in your urine. Symptoms of hematuria include urine that is red, pink, or brown. In most cases, people with gross hematuria do not have other signs and symptoms.

Sometimes there might be only passage of clots. It is not normal to find blood in your urine, so it’s important to talk to your healthcare provider to find the cause.

What are the causes of this condition?

Hematuria can be from a non-serious (benign) cause:

  • Kidney stones and bladder stones
  • Infection
  • Benign prostatic hyperplasia
  • Trauma
  • Polycystic kidney disease
  • Menstruation
  • Vigorous exercise
  • Sexual activity
  • Few medicines

Or, it can be from malignant causes which include:

  • Tumor of the kidney, ureter, bladder, prostate & urethra

How does it impact one’s health and what are the risks associated with this condition?

Hematuria is a sign not a disease itself, therefore a cause of hematuria needs to be investigated. And the risk associated will depend on the cause of hematuria. People with gross hematuria have urine that is pink, red, or brown. Even a small amount of blood in the urine can cause urine to change color. In most cases, people with gross hematuria do not have other signs and symptoms. People with gross hematuria that includes blood clots in the urine may have bladder pain or pain in the back.

What are the various treatments & procedures associated with these conditions & diseases?

Any time blood is found in your urine, a health care provider will want to make sure there is not a serious underlying health issue. He or she will conduct a medical history, physical examination, and urine test to better understand what’s going on with you. If microscopic blood is found in your urine, your health care provider may repeat the urine test. This confirms that the first finding was correct.

The treatment of hematuria depends on its cause. In general, people with exercise-related hematuria do not need any treatment other than to modify their exercise programs. People with drug-related hematuria will improve if they stop taking the medication that caused the problem, but needs to be evaluated to detect other causes of hematuria. Antibiotics typically will cure infection-related hematuria. For other causes of hematuria, treatment may be more complex:

  • Kidney stones— smaller stones sometimes can be flushed from the urinary tract by drinking lots of fluids. Larger stones may require surgery or lithotripsy, a procedure that breaks up the stone.
  • Trauma— Treatment depends on the type and severity of injuries. In severe cases, surgery may be necessary.
  • Tumor in bladder or kidney— Treatment is determined by the type of cancer and how much the cancer has spread (its stage), as well as by the patient’s age, general health and personal preferences. The primary types of treatment are surgery, chemotherapy, radiation therapy and immunotherapy, a type of treatment that stimulates the immune system to fight cancer.
  • Glomerulonephritis— Treatment may include antibiotics to treat any infection, medications called diuretics that help to increase the amount of urine excreted from the body, medications to control high blood pressure and dietary changes to reduce the work of the kidneys. However, children who develop glomerulonephritis related to a streptococcal infection often recover after antibiotics without needing additional treatment. If it is caused by an autoimmune disorder, such as lupus, medications to suppress the immune system, are usually prescribed.
  • Bleeding disorders— Treatment depends on the specific type of bleeding disorder. Patients with hemophilia can be treated with infusions of clotting factors or with fresh frozen plasma, a type of transfusion that provides missing factors.

Never ignore blood in your urine. Get checked by your health care provider, especially if you have urination problems or unexplained weight loss.

 Can you elaborate on the experiences and achievements of the Max doctors in that makes them THE BEST?

 We at Max hospital, in Urology Department, have a vast experience in managing these patients, right from medical management to surgical procedures with good long term follow up of such patients. We have state of the art endoscopic instruments, laparoscopic system, and robotic systems which further improves the outcome for these patients offering them a minimally invasive procedure. Our team doctors are well trained from premiere institutes of this country with vast experience in treating this condition.

What are the latest tools, equipments & technologies that Max has and uses in treatment of above condition?

Aprat from routine tests for Hematuria evaluation like, urine test (urinalysis, urine culture and urine cytology), ultrasound and CT scan we do have also FDG PET CT available at Max Saket to evaluate Hematuria as a cause of Bladder/Kidney cancer and  Cystoscopy to see the bladder for cancer and RIRS (retrograde intra renal surgery that is an endoscopic procedure to see the cancer in ureters and kidneys) and HIVAC (Heated intravesical chemotherapy) apart from other intravesical immunotherapy and chemotherapy

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BLADDER TUMOR WHITE LIGHT CYSTOSCOPY

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BLADDER TUMOR BLUE LIGHT CYSTOSCOPY

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URETERIC TCC ENDOSCOPIC VIEW

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RENAL PELVIC TCC ENDOSCOPIC VIEW

What are the complexities/risks associated with the treatment of mentioned condition?

The medical treatment is associated with minimal risks and complications. Antibiotics are associated with minor side effects like gastritis, vomiting and diarrhea. 

Alpha blockers for (BPH) are associated with minor side effects like retrograde ejaculation, cough and postural hypotension. Immunotherapy and chemotherapy for bladder cancer have also minimal side effects. The surgery might be associated with some complications depending upon the procedures performed for various causes of Hematuria.

What treatment approaches do you follow for the different therapies and treatments in general?

Treatment ranges from antibiotic therapy to surgery, depending on the underlying cause as mentioned above

Please elaborate on the Follow-up procedures, after-care, and daycare services associated with treatment of this condition.

Patient is kept on regular follow up as per the cause of Hematuria, which could initially be monthly visits and might gradually decrease as per the patients’ response. The symptoms and recurrence of disease are assessed at every follow-up and tests are done accordingly. 

Which other departments work during the treatment of this condition/disease?

Hematuria is primarily managed with Urology. However, departments like Nephrology, Oncology, Radiotherapy and Radiology might be involved in some stage of management for evaluation and treatment of various causes of Hematuria. In case of surgical management, anesthesiologist will see for you pre-anaesthetic assessment prior to surgery.

What form of support do patients receive? Are there any special support groups or boards or clubs?

For benign causes, there are no special muti-disciplinary boards for management of hematuria. However, every staff and doctor of urology department acts like a friend to understand your problem and supports you at every step of treatment.

The department collaborates with various departments such as Medical Oncology and Radiotherapy to form a Tumor Board for malignant cause of hematuria such as bladder and kidney cancer as needed, for every patient on individual basis for management.

In your opinion, what sets Max Healthcare apart in terms of treatment provided?

Max Healthcare believes in comprehensive care. With a holistic approach, we try to address every concern of our patients and try to relieve their anxiety. While prior appointments tend to decrease the waiting time and discomfort,

we also welcome the walk-in patients in best possible manner. We try to address all your concern and guide you through the most updated treatment tailored to your needs. Apart from the medical treatment, we provide the best amenities and services to make your experience at Max- a pleasant and soothing one.

What makes the treatments provided by MAX unique? (Why is Max different from other hospitals in the same)

At Max Healthcare, we follow a multidisciplinary systematic approach, which is in line with internationally approved treatment protocols. Each and every patient receives treatment and care that is customized as per their needs. At the same time, excellent nursing and housekeeping care makes your visit to Max Health Care unique and calming.

For Appointment, Call: +91 9540295450

Mon-Tues-Thurs-Sat : 09:00 PM to 10:00 PM

Wed-Fri : 07:30 PM to 09:30 PM

Sunday : 09:00 AM to 11:00 AM

Dr Anantkumar Urologist

Best Robotic Surgeon In Delhi

Location: Max Supper Speciality Hospital (A Unit of Devi Devki Foundation) 2, Press Enclave Road Saket, New Delhi – 110017

Email: dranantkumar57@gmail.com

For Appointment, Call

+91 9540295450

Mon-Tues-Thurs-Sat : 09:00 PM to 10:00 PM

Wed-Fri : 07:30 PM to 09:30 PM

Sunday : 09:00 AM to 11:00 AM

Dr Anantkumar Urologist

Best Robotic Surgeon In Delhi

Location: Max Supper Speciality Hospital
(A Unit of Devi Devki Foundation)
2, Press Enclave Road Saket, New Delhi – 110017