Blood in Urine (Haematuria) Testing and Treatment
If you notice blood in urine, our private haematuria clinic provides urgent assessment, including scans and cystoscopy, to identify the cause and offer appropriate treatment.
Blood in the urine, medically known as haematuria, is a symptom that should never be ignored. If you notice blood in your urine or it has been detected during routine testing, it is important to seek prompt assessment.
At our specialist urology practice in Manchester, I provide rapid, expert haematuria assessment, ensuring early diagnosis and peace of mind.
Blood in Urine (Haematuria) Testing and Treatment
hat Is Haematuria?
Haematuria refers to the presence of blood in the urine and can present in two ways:
Microscopic haematuria – detected on urine testing but not visible
Macroscopic haematuria – visible blood, where urine appears pink, red, or brown
Blood in the urine is not normal and is considered a red flag symptom, requiring assessment by a urology specialist.
Bleeding can arise from anywhere in the urinary tract, including:
Kidneys
Ureters
Bladder
Prostate
Urethra
How Common Is Blood in the Urine?
Microscopic haematuria is commonly found during routine urine testing and is often harmless in younger patients. However, in many cases—particularly in adults over 40—further investigation is essential.
1–5% of patients with microscopic haematuria may have cancer
Up to 25% of patients with visible haematuria may have an underlying tumour
Some patients will have no identifiable cause
You should seek urgent assessment if you experience:
Visible blood in the urine
Persistent urinary symptoms
Loin (flank) pain
Private Haematuria Assessment in Manchester
As an experienced private urologist in Manchester, I offer a comprehensive haematuria work up in line with national guidelines.
1. Specialist Consultation & Examination
A detailed assessment includes:
Full medical history
Physical examination
Prostate examination (men)
Gynaecological assessment (women, if required)
2. Urine Testing
A urine analysis will be performed to exclude infections.
Urine for culture and sensitivity is also sent when indicated. It help us identify the type of infection and the guide antimicrobial treatment.
Urine cytology- detects cancer cells under mictoscope.
3. Imaging of the Urinary Tract
Ultrasound scan
Typically used for microscopic haematuria
Safe, non-invasive, and readily available in Manchester
CT Urogram
Recommended for visible haematuria
Provides detailed imaging of the kidneys and bladder
4. Cystoscopy (Bladder Examination)
A flexible cystoscopy allows direct visualisation of the bladder:
- Performed under local anaesthetic
- Quick and well-tolerated procedure
- No hospital admission required
Early Diagnosis Saves Lives
The key goal of haematuria investigation is the early detection of bladder and kidney cancer. When identified early, these conditions are highly treatable with excellent outcomes.