Haematuria: a long-term problem after prostatectomy.
OBJECTIVE
The causes of 'late' haematuria (2 years or more) following endoscopic and open prostatectomy were studied.


METHODS
Between 1994 and 1996, more than 400 patients were evaluated for haematuria. Ninety patients with post-prostatectomy haematuria were investigated with upper tract imaging and cystoscopic examination. Amongst these 90 patients, 30 presented with haematuria within 2 years of surgery. These patients were excluded from the study as they had normal investigations.


RESULTS
Of these 60 patients, 24 (43%) had demonstrable causes of haematuria in their urinary tract. Six of them had urinary tract malignancy.


CONCLUSIONS
There is a substantial likelihood of finding a cause for haematuria in patients who had prostatectomy even though they had full-scale urological investigations before. There is a need, therefore, to carry out necessary screening investigations in such patients.
Nargund
V H
VH
Department of Urology, Oxford Radcliffe Hospital NHS Trust and University of Oxford, The Churchill, Oxford, UK. vhnar@lineone.net
Noble
J G
JG
Cranston
D
D
Fellows
G J
GJ
D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D015331:Cohort Studies; D003558:Cystoscopy; D005500:Follow-Up Studies; D006417:Hematuria / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment; D013997:Time Factors