Hematuria

Treatment

Management of hematuria depends on the underlying cause. It varies from administering medications to performing surgery.

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

• Benign prostatic hyperplasia (BPH) – Avoid unsuitable foods/beverages/over the counter medications. Medications such as terazosin, tamsulosin, alfazusin, finasteride or dutasteride are generally prescribed. Single or a combination of the two of the drugs are generally used. If ineffective, endoscopic surgery may be carried out.

• Kidney and bladder stones - Procedures to break /remove the stones may be necessary

• Kidney disease - Treated as necessary. May involve dialysis if there is kidney failure.

• Medications that induce hematuria ( such as aspirin, clopilet, quinine may need to be discontinued.

• Trauma-induced hematuria - Treated according to the problem ranging from rest to surgery

• Urinary tract blockages - Removal of the blockage

• Infection induced hematuria - Medications

• Cancer caused hematuria - Radiotherapy, chemotherapy, and surgery.

Prognosis

Prognosis entirely depends on the underlying condition and the patient's response to treatment.

In some cases, hematuria is idiopathic and cannot be traced to a single cause. However it would be prudent for the patient to be monitored regularly. In case of recurrence, another cycle of evaluation will be necessary.