Abstract

prospectively collected and maintained on a Microsoft Access database for research and analysis. RESULTS: 190 patients under 40 years with visible haematuria were referred during the study period. The follow-up duration was 6.9 / 2.5 years (median / SD; range 3–11.5 years). The male/female ratio was 3.2:1 with a mean age of 30 (14 39) years. There were 42 smokers (35 males and 7 females). No pathology was found in 166 (87%) patients. Malignant urological disease was found in 6 (3.2%) patients: bladder tumour (5) and renal tumour (1). Of these one was a smoker, three were non-smokers and two of unknown smoking history. The rest had benign pathology as shown in table. No patient developed recurrent or persistent haematuria. CONCLUSIONS: 87% of patients under the age of 40 with visible haematuria do not have any pathology. The proportion of patients with malignant urological disease was small (3.2%), in contrast with the general cohort of patients of all ages who present with visible haematuria. Smoking did not seem to be a contributing factor.

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