
Fulltext:
50609.pdf
Embargo:
until further notice
Size:
88.61Kb
Format:
PDF
Description:
publisher's version
Publication year
2006Source
International Journal of Clinical Practice, 60, 5, (2006), pp. 557-61ISSN
Publication type
Article / Letter to editor

Display more detailsDisplay less details
Organization
Nephrology
Urology
Journal title
International Journal of Clinical Practice
Volume
vol. 60
Issue
iss. 5
Page start
p. 557
Page end
p. 61
Subject
N4i 4: Auto-immunity, transplantation and immunotherapy; NCMLS 2: Immune Regulation; UMCN 5.4: Renal disorders; UMCN 5.4: Renal disordersAbstract
Many patients with asymptomatic haematuria are primarily referred to urological examination. To analyse the efficiency of this strategy, we investigated the diagnostic process in 134 patients with asymptomatic haematuria (91 macroscopic and 43 microscopic) who were referred to our urology department. The frequency of diagnostic procedures was urine culture: 91%, cystoscopy: 87%, intravenous urography: 86%, ultrasound: 73%, examination of urinary sediment: 20%. In 70 patients (52%), a urological diagnosis was made. In the remaining 64 patients, the urinary sediment was examined for the presence of dysmorphic erythrocytes and erythrocyte casts in 17 patients (27%). Signs of glomerular haematuria were found in nine of them (53%). The diagnostic strategy in these patients with asymptomatic haematuria was not discordant from several published algorithms but appeared neither efficacious nor efficient. We estimate that when examination of the urinary sediment would have been performed at the start of work-up, 25% of patients could have spared from extensive urological investigation.
This item appears in the following Collection(s)
- Academic publications [204951]
- Electronic publications [103216]
- Faculty of Medical Sciences [81049]
Upload full text
Use your RU credentials (u/z-number and password) to log in with SURFconext to upload a file for processing by the repository team.