Haematuria in Nigerians: a prospective study.
One hundred and ninety Nigerians who presented with haematuria at an out-patient department were fully investigated and treated. There were 135 males and 55 females of mean age 37.8 years. Fifty-eight per cent of them presented over 3 months after onset of symptoms. Haematuria was severe in 27%, painless in 50%, intermittent in 26%. Infection accounted for 22.6%, neoplasms 17.4%, schistosomiasis, 14.2%, trauma 13.7%, benign prostatic hyperplasia 7.9%, calculous disease 7.9% and haemoglobinopathy 2.6%. There was no case of haematuria due to Hb type AS. Aetiology was unknown in 1.6%. Urethrocystoscopy and intravenous urography were the most rewarding investigations. All patients with carcinoma of the bladder presented very late and none survived more than 1 year after diagnosis. Eighty-six per cent of the cases were of non-schistosomal origin and the need for early and thorough investigation of haematuria is stressed.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006453:Hemoglobinopathies / Q000150:complications; D006801:Humans; D007223:Infant; D007710:Klebsiella Infections / Q000150:complications; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012552:Schistosomiasis / Q000150:complications; D013203:Staphylococcal Infections / Q000150:complications; D001745:Urinary Bladder Diseases / Q000150:complications / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000150:complications