Clearly visible and microscopic hematuria (blood in the urine) requires evaluation. The upper urinary tract should be imaged, and cystoscopy should be done if there is hematuria in the absence of infection. A comprehensive evaluation is necessary entailing of upper tract (kidneys and ureters) imaging, cystoscopy and urine cytology.
Paul A Church, MD
Location and Office HoursUrology Practice Associates Inc
Needham Heights, MA 02494
- Blue CHiP/Coordinated Health Partners
- CIGNA HealthCare
- Fallon Community Health Plan
- Great-West Healthcare CIGNA
- HMO Blue (BC/BS of MA)
- Harvard Pilgrim Health Care, Massachusetts
- Neighborhood Health Plan
- Senior Whole Health
- TRICARE North/HealthNet Federal Services
- Tufts Health Plan
- United Healthcare
- Beth Israel Deaconess Hospital Needham
- Beth Israel Deaconess Medical Center
- Brigham & Women's Hospital
- Faulkner Hospital
- New England Baptist Hospital
What test should be performed if I have blood in my urine?
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What is urethral hypermobility?
Jill Rabin, Obstetrics & Gynecology, answered
Urethral hypermobility refers to too much movement of the urethra, causing it to drop below the pelvic floor muscles during certain activities. This may or may not cause urine leakage.
When the support provided by the pelvic muscles is relaxed or lost, the bladder neck and urethra may shift, sag, or drop into a lower position during periods of activity, thus causing pressure on the bladder neck area. The pressure on the bladder will exceed the pressure on/in the urethra. If the bladder neck or urethra opens briefly, leakage occurs.
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What can cause urinary problems in men besides an enlarged prostate?
It was once thought that the urinary difficulties that men experience as they age were the result of an enlarging prostate constricting the urethra. If this were the case, symptoms would tend to get worse as the prostate got larger. But this is not the case. Rather, the smooth muscle in the prostate and the bladder also play key roles in causing urinary symptoms. When the smooth muscle gets chronically tense, it puts pressure on the urethra and bladder neck, increasing the resistance to urine flow. And, as resistance to urine flow increases, the bladder has to work harder to empty itself. To do this, the bladder contracts its muscular wall, called the detrusor muscle. This action causes the muscle to thicken and get stronger, further reducing the capacity of the bladder.
Sometimes the muscle contracts when the bladder is not full, giving the sensation of needing to urinate. Over time, as the bladder tries harder to empty itself, it becomes less efficient. The result: The need to urinate more frequently and the sensation of not having emptied the bladder of urine.
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