[Analysis of 895 consultations for hematuria in the emergency department in an urology unit].
OBJECTIVE
To study efficacy of our diagnostic approach in patients with haematuria, as well as the information provided by the different tests.


METHODS
The computerization of our emergency department, and the study of the data base have permitted us to study retrospectively 722 cases of hematuria seen at our center over a period of 10 months. The relation between the benign or malignant etiology of the hematuria, and the presence or absence of associated symptoms and the intensity of the hematuria is shown, as well as the relation between the intensity of the hematuria and the decrease in the hemoglobin rates detected.


RESULTS
Fifty eight percent of the 722 patients, 39% of them due to neoplasm. The intensity of had one symptom only hematuria was significantly superior in the patients with the final diagnosis of neoplams. The accomplishment of reactive strip, basic imaging techniques and urine sediment has permitted in our series to direct the diagnosis in 67.3% of patients. Cystoscopy has shown great efficacy in diagnosing the cases of monosymptomatic hematuria with normal radiological studies.


CONCLUSIONS
Monosymptomatic hematuria deserves a work-up to rule out malignancy. Reactive strip, urine sediment, KUB and ultrasonography allow to direct the diagnosis in most cases.
Errando Smet
C
C
Servicio de Urologia, Fundación Puigvert, Barcelone, Espagne.
Martinez De Hurtado
J
J
Regalado Pareja
R
R
Huguet Pérez
J
J
Montlleó Gonzalez
M
M
López Duesa
L
L
Bakali Mourabet
K
K
Chéchile Toniolo
G
G
Vicente Rodriguez
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000150:complications / Q000000981:diagnostic imaging; D011471:Prostatic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D012189:Retrospective Studies; D014463:Ultrasonography; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D014552:Urinary Tract Infections / Q000150:complications / Q000382:microbiology; D014571:Urologic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D014573:Urology Department, Hospital
Analyse de 895 consultations pour hématurie dans le département des urgences d'un service d'urologie.