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In most cases of microscopic hematuria, there is no etiology or pathology and this condition is called as asymptomatic microscopic hematuria with a prevalence ranging from 0.9% to 18.0% (3,4).
Asymptomatic microscopic hematuria in adults: Summary of the AUA best practice policy recommendations.
Evaluation of asymptomatic microscopic hematuria in adults: the American urological association best practice policy.
Stratifying risk of urinary malignant tumors in patients with asymptomatic microscopic hematuria. Mayo Clinic Proc.
Utility of urine cytology in the workup of asymptomatic microscopic hematuria in low risk patients.
Psooy, "Canadian guidelines for the management of asymptomatic microscopic hematuria in adults," Journal of the Canadian Urological Association, vol.
The American Urological Association Best Practices Policy guidelines recommend IV or CT urography as the initial imaging test for patients with asymptomatic microscopic hematuria. (1) Likewise, the American College of Radiology rated CTU as the most appropriate imaging procedure in the evaluation of hematuria.
Asymptomatic microscopic hematuria: time to look the other way?
-- Asymptomatic microscopic hematuria is usually benign in children but should prompt an assessment for the big four signs of serious underlying renal disease--asymptomatic microhematuria and recurrent or persistent gross hematuria, significant fixed (nonorthostatic) proteinuria, hypertension, and azotemia.
Although the incidence of significant urologic disease in patients with asymptomatic microscopic hematuria is low--probably only about 5%--the amount of blood in the urine doesn't correlate with the severity of any underlying disease.
The effect of age on the prevalence of asymptomatic microscopic hematuria. Am J Clin Pathol 1986;86:656-7.
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