Haematuria means “Blood
in the Urine” and this
may be either:
meaning the blood is not visible to the naked eye but detected
on testing or visible under the microscope.
Microscopic Haematuria commonly occurs with Urinary tract infections,
small kidney stones, and occasionally with small tumours of the urinary
tract, (Bladder or Kidney).
2. Frank or Macroscopic,
meaning that the blood is visible to the naked eye.
Frank Haematuria may be either painful and is often associated with urinary
tract infections, inflammation of the Prostate and Bladder stones.
Painless Frank Haematuria is often associated
with the passage of clots and is commonly seen with Bladder
tumours (growths in the bladder - read
about Bladder Cancer), Kidney tumours (growths in the
Kidney) and following on from operations on the Bladder and
All types of Haematuria should be investigated
as to the type and cause of the bleeding, and can be carried
out very simply in the outpatient department.
Standard investigations will include a full
examination with a Flexible
Cystoscopy and Ultrasound of the Bladder and Kidneys.
Additionally a further X-ray such as an Intravenous Urogram
(Dye examination of the Urinary Tract) may be needed.
The majority of Causes of Haematuria are Benign
but early detection of Growths
in the Bladder or Kidney allows for early curative treatment.
Haemospermia means Blood in the Seminal Fluid (ejaculate),
and is a benign, self limiting condition often associated with inflammation
of the Prostate.
Investigation is carried out in outpatients
and includes a check on the Prostate, Measurement of the Prostate
Specific Antigen (PSA), Ultrasound
of the Prostate and a Flexible
Cystoscopy. Treatment, if needed, is often with a combination
of Antibiotics and Anti-inflammatory.
Haemospermia often settles spontaneously but
if it follows a TRUS
Biopsy of the Prostate may persist for up to 3 months.