If there is blood in my urine, what should I do next? Does this mean I have bladder cancer?

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Expert Answers

ErikCastleMD (Physician - Urology (Verified) ) - 09 / 11 / 2012

Blood in the urine (hematuria) can signify many conditions besides bladder cancer. Blood in the urine is generally classified into two categories: microscopic (seen only by microscope) and gross (seen with your eyes). In most cases of hematuria routine things such as urinary infection and other obvious sources should be ruled out. Once that is done, referral to a urologist for a “hematuria workup” should be next. This would include x-ray studies (CT scan) to evaluate the kidneys and ureters as well as a urine test for cancer cells and a cystoscopy (looking in the urethra and bladder). These tests will allow the doctor to evaluate you for a variety of conditions including: kidney cancer, bladder cancer, kidney stones, urinary obstruction and other conditions. Rest assured that in most cases, blood in the urine is not a cancer.
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