fbpx

Haematuria clinic

Blood in the urine is commonly known as haematuria. Haematuria most commonly presents in small quantities and is often picked up on a routine screening by a simple dipstick test. Haematuria can also be diagnosed when urine is examined under the microscope (microscopic haematuria) or seen as red or brown discolouration of the urine (macroscopic haematuria).

Blood should not normally appear in the urine. The presence of blood therefore means that there could be a problem in any part of the urinary tract, from the kidneys, ureters, bladder, prostate gland or the urethra.


What is the likelihood the symptoms are Serious?

It is rare that patients under the age of 40 years with microscopic haematuria have a serious problem.

In all other cases the presence of haematuria should be investigated.

  • 50% of patients with haematuria will have an abnormality
  • 10% of patients with microscopic haematuria will have a malignancy
  • 35% of patients with macroscopic haematuria will have an underlying tumour

The Haematuria clinic service

We have a wide range of specialists in haematuria, urology and urological oncology that can assess the likelihood of disease. A positive dipstick test for blood in isolation can often be distressing and in all cases where symptoms exist, physical examination must also be undertaken and further investigations performed to localise the cause.

All patients should be seen by a specialist urologist:

  • A physical examination is required including a prostate examination for men and gynaecological organs in the female.
  • Samples of urine must be sent for microscopy and culture [investigation of infection], and urine cytology [investigation of abnormal cells in the urine].
  • Arrange a blood test to establish kidney function and signs of infection or clotting abnormality.
  • Undertake an ultrasound examination of the renal system including the bladder, and a plain abdominal x-ray.
  • Perform a cystoscopy, which is an investigation involving a tube being passed into the bladder.
  • In some cases an intravenous urogram (IVU) or a CT scan will be undertaken to visualise the renal system to check for obstruction.

It is important to remember that the job of the specialist is to diagnose early and treat any serious pathology but more commonly to exclude serious pathology and to reassure the patient.

We also have expert radiologists who specialise in imaging of the urinary tract and pelvis and who work closely with their urology colleagues to provide the very best in diagnosis.

We aim to provide you with a fast track service to ensure you are fully informed and to the options available to you.


    Make an enquiry

    ENT Consultants

    Urology Clinic

    Our private urology clinic in London uses the latest techniques to give you the best diagnosis, intervention and aftercare for any urology problem you may be suffering from, allowing you to get back to your normal life as soon as possible.  We provide our urology Consultants with the most modern diagnostic equipment, so they can quickly find out what’s wrong. They also have four operating theatres at their disposal to carry out procedures, which cuts waiting times.

    A patient speaking to a receptionist

    Patient information

    Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, our private GP practice and Urgent Care Clinic, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

    Make an enquiry

    If you have any questions relating to treatment options or pricing information, get in touch with us by filling out one of our contact boxes or giving us a call on 020 7432 8297.

    Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

    If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

    If you have health insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer to get authorisation before any treatment, and in most cases you will also require a referral letter from your GP.

    If you are not registered with a GP, we have an in-house private GP practice you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstances.

    *Please note – for investigations such as X-rays and MRIs, a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

      Make an enquiry

      Latest articles

      The latest news, insights and views from St John and Elizabeth Hospital.

      Find out what we’re doing to keep you safe, read expert articles and interviews with our leading specialist Consultants, learn more about common conditions and get your questions answered.

      09th November 2023

      KFM and St John & St Elizabeth Hospital enter into partnership to deliver an end-to-end procurement and supply chain service

      On Wednesday 1 November 2023, KFM entered into a contract with St John…

      01st November 2023

      Men’s Health Awareness Month With Dr Adam Wander, Private GP

      November is Men’s Health Awareness Month, widely known as Movember. This is a…

      19th October 2023

      Kidney Stones – Prevention & Treatment with Mr Leye Ajayi

      Mr Leye Ajayi is a Consultant Urological Surgeon with a specialist interest in…

      03rd October 2023

      Preventing Rugby Injuries with Lead Outpatient Physiotherapist – Kolade Awobowale

      We are extremely proud that our Lead Outpatient Physiotherapist, Kolade Awobowale, flew out…

      Mr Akash Patel

      26th September 2023

      Top Tips for New Runners – with Mr Akash Patel

      Mr Akash Patel, Consultant Trauma and Orthopaedic Surgeon specialises in hip and knee…

      26th May 2023

      What to expect at our Stroke Clinic – with Dr Sageet Amlani

      It’s a tough reality that many of those who have had a stroke,…

      12th April 2023

      What does a Bowel Consultant do? Mr Asif Haq answers

      Mr Asif Haq is a highly experienced Colorectal Consultant and General Minimal Access…

      16th January 2023

      Skiing Q&A with an orthopaedic surgeon

      Mr Parag Jaiswal is a lower limb orthopaedic surgeon who specialises in complex…

      11th January 2023

      Shred it this ski season

      If you’re planning a holiday in the mountains this ski season, preparing your…

      10th January 2023

      Ski season and ACL injuries

      An interview with Mr Ghias Bhattee – Lower Limb Orthopaedic Surgeon on what…

      06th January 2023

      Getting treatment after a skiing injury

      Mr Satya Naique is a Lower limb Orthopaedic and Trauma Surgeon, who has…

      14th November 2022

      An insight into HoLEP – minimally invasive prostate surgery

      Mr Andrew Ballaro is a Consultant Urological Surgeon who practices at our hospital….