MP22-20 HEMATURIA UNDER 40 YEARS: WHO NEEDS INVESTIGATIONS? LONG PROSPECTIVE LARGE-COHORT STUDY

Abstract

You have accessJournal of UrologyBladder Cancer: Detection & Screening1 Apr 2014MP22-20 HEMATURIA UNDER 40 YEARS: WHO NEEDS INVESTIGATIONS? LONG PROSPECTIVE LARGE-COHORT STUDY Said Mishriki, Omar Aboumarzouk, and Bhaskar Somani Said MishrikiSaid Mishriki More articles by this author , Omar AboumarzoukOmar Aboumarzouk More articles by this author , and Bhaskar SomaniBhaskar Somani More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.868AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Haematuria in patients <40 years of age poses a management dilemma. Although investigations are always recommended, most studies include all age groups. The outcome of investigations in patients with visible haematuria (VH) and non-visible haematuria (NVH) in this important age group is unknown. METHODS 305 consecutive patients < 40 years old referred to the Urology Department at Aberdeen Royal Infirmary between January 1999 and September 2007 were included. Data was prospectively collected and patients were investigated using upper tract imaging and flexible cystoscopy. The point of last follow-up (October 2010) was at least 3 years from the end of the study period (1999-2007). The results were independently analysed by 2 authors (OMA and BS). RESULTS 110 were referred for NVH and 195 patients were referred for VH. Overall, in total 89.8% (274/305) patients had no pathology, 7.9% (24/305) had benign pathology, and 2.3% (7/305) had malignant pathology (Table). In patients with VH, none under 19 years old age group had any pathology. Two bladder tumour was seen in 20-29 year age group, 4 bladder tumour and 1 renal tumour was seen in the 30-39 year age group. While calculi were the most common cause of VH in the male group (4.7%), simple renal cysts were the more prevalent diagnosis in the women’s group (4.3%). In patients with NVH, 98.2% (108/110), had no pathology, one patient each had a urinary tract infection (UTI) and a simple renal cyst. There were no malignancies diagnosed in this group and both patients with benign pathology were in the 30-39 year old age group. CONCLUSIONS Almost 90% of patients under the age of 40 years investigated for haematuria will have no pathology. Malignancy was diagnosed in 3.6% of patients with VH and in none of the patients with NVH. This is the first study to demonstrate outcomes of haematuria in patients <40 years emphasising the importance of tailoring investigations to the type of haematuria and patient age. Diagnosis Patient number No Pathology *274* Benign Pathology: *24* Calculus (renal/ureteric) 8 Cystitis/UTI 4 Hydronephrosis 2 Renal Cyst 5 Urethral Stricture/Bladder Neck Stenosis 5 Malignant Pathology: *7* Bladder Tumour 6 Bladder Tumour 1 Total (asterisk) *305* © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e242 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Said Mishriki More articles by this author Omar Aboumarzouk More articles by this author Bhaskar Somani More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...