[Microscopic hematuria. Semiologic value in urology. Management of microscopic hematuria].
Microscopic hematuria, a frequent cause for consultation, poses a problem regarding its significance. It is essential that a curable pathology is not neglected. In the absence of associated clinical data, nephrological orientation of investigations depends on the study of urinary sediments and phase contrast microscopy. Where there is a urological orientation, half the lesions involve the lower urinary tract; the use of flexible urethrocystoscopy has been a true advance in terms of its simplicity and reliability. When a lesion is demonstrated the question still remains as to whether it is in fact responsible for the microscopic hematuria. It is best to remain prudent when a poorly significant lesion is discovered. Since 20% of microscopic hematurias remain unexplained, how far should one go in the paraclinical investigation and follow up of involved patients?
Olivo
J F
JF
Service d'Urologie, CHR, Rennes.
Guille
F
F
Lobel
B
B
D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006417:Hematuria / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008858:Microscopy, Phase-Contrast; D008875:Middle Aged; D011469:Prostatic Diseases / Q000150:complications / Q000175:diagnosis; D014463:Ultrasonography; D014556:Urine / Q000166:cytology; D014567:Urography; D014570:Urologic Diseases / Q000150:complications* / Q000175:diagnosis
Hématurie microscopique. Valeur séméiologique en urologie. Conduite à tenir devant une hématurie microscopique.