Blood in Urine – Diagnosis and Treatment

Blood in Urine – Diagnosis and Treatment


By Dr. Srinivas Rao, Urology

Hematuria is a condition which is characterized by the presence of blood in urine. Blood in urine is most often benign, however sometimes the condition can be more serious. When you can see the blood in urine with the naked eye, it is known as Gross Hematuria. However, when you can only see it under a microscope, it is known as Microscopic Hematuria. Microscopic Hematuria can only be diagnosed after extensive testing by your doctor. Whichever type of hematuria it is, it is crucial to determine the cause of it and then treat that cause.

Causes of Hematuria- 

  1. Urinary Tract Infections: It is not uncommon when the only sign of a urinary tract infection is a microscopic hematuria. The microscopic hematuria is caused by bacteria entering through the urethra and then multiplying in the bladder.
  2. Kidney Infections: Kidney infections occur when bacteria reach kidneys through blood or from ureters to one of your kidneys and multiply in that kidney.
  3. Prostate Gland Enlargement: When your prostate gland enlarges, it compresses urethra, thus blocking the urine flow. This can lead to microscopic as well as gross hematuria.
  4. Cancer: Hematuria can also symptomatic of various cancers including bladder, ureter, kidney and prostate cancer.
  5. Urinary stones also can cause Hematuria.


  1. Antibiotics: This form of treatment is administered when the cause of hematuria is a urinary tract infection.
  2. Shock Wave Therapy or LASER treatment to clear bladder or kidney stones.
  3. Other Medications: There are several medications to treat prostatic enlargement and help stop hematuria.
  4. Various diagnostic tests and treatment modalities are available for treating cancers.