Home / Services and specialties / Haematuria (blood in the urine)

Haematuria Clinic (Blood in the urine)

Blood in the urine could be an indication of a treatable or serious condition. 

About 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, ureter, bladder, prostate gland or the urethra.

Blood in the urine can be visible or non visible (seen on a urine test). It requires further investigation for the possibility of finding a treatable or serious condition.

It is rare that patients under the age of 40 years with non visible blood in the urine have an underlying serious problem.

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Causes of Haematuria

  • Blood in the urine could be a symptom of various conditions, the most common being bladder infection (cystitis) or kidney infection.
  • Benign enlarged prostate
  • Stones in the kidneys or bladder
  • Blood disorders (e.g. sickle cell disease, clotting disorders, patients on anticoagulant and anti-platelet drugs)
  • Inflammation of the kidneys (nephritis)
  • 1 in 5 adults with visible blood in the urine and 1 in 12 adults with non-visible blood in the urine are subsequently discovered to have bladder, kidney or prostate cancer

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Investigating blood in the urine

This occurs in the Haematuria Clinic where expert consultants and healthcare professionals provide you with rapid access to see a consultant and get most of the necessary diagnostics on the same day.

 The Diagnostic Tests include 

  • Urine sample
  • Blood tests
  • Ultrasound of the kidney, ureter and bladder
  • CT KUB (CT of the kidneys, ureter and bladder)
  • If required, your consultant will arrange a flexible cystoscopy (under local anaesthetic or sedation), which is a telescopic examination of the bladder.

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Why Choose Cromwell Hospital?

We have a team of experienced consultant urological surgeons who have developed their skills and knowledge working in some of the leading NHS teaching hospitals in London.

Our consultants work as part of a multidisciplinary team (MDT), which includes other consultants and experts from different specialties. They meet regularly to review complex cases to ensure the best possible care for each patient.

If you get in touch with us, we can offer you rapid access to a consultation and blood tests in the same day.

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Our specialist consultants

Mr Sanjiv Agarwal

/ Consultant Urologist

Urology

Clinical interests: Paediatric urology - reconstructive surgery. Adult urology - incontinence male and female, male infertility, prostate surgery

Languages spoken: English/Hindi/Urdu

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Professor Hashim Ahmed

/ Consultant Urological Surgeon

Urology

Clinical interests: Professor Ahmed has received the BMJ Award for Innovation 2015 for his group's work in prostate cancer diagnosis and treatment. Diagnosis of prostate cancer Advice on PSA screening. Advice on prostate cancer risk for men with a family history or other risk factors. Multi-parametric MRI. MRI-guided biopsies, transperineal template biopsies, image-fusion prostate biopsies). Biopsies under local anaesthetic, sedation or general anaesthetic Treatment of Prostate Cancer Focal therapy, HIFU, cryotherapy, active surveillance. Second opinion on treatment options. Member of Multi-disciplinary team meetings for case discussions of all prostate cancer cases. Diagnosis and management and treatment of men with urinary symptoms Benign prostate hyperplasia, lower urinary tract symptoms. Treatment using bipolar TURP, laser, Uro-lift, medical management, self management Diagnosis and management of patients with blood in the urine (haematuria).

Languages spoken: Bengali/English

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Mr Christopher Anderson

/ Consultant Urological Surgeon

Urology, Uro-oncology, General

Languages spoken: English

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Mr Hama Attar

/ Consultant Urological Surgeon

Urology

Clinical interests: Management of kidney stones, Prostate and Bladder Cancer Diagnosis, blood in urine, bladder infections, urinary symptoms, incontinence, erectile dysfunction

Languages spoken: English

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Mr Mohamed Hammadeh

/ Consultant Urological Surgeon

Urology, Female urology

Clinical interests: Management of female stress urinary incontinence including periurethral Bulkamid© injection; management of refractory overactive bladder (urge incontinence) including bladder Botox injection and Percutaneous Tibial Nerve Stimulation (PTNS); management of urinary tract infection in male and female including intravesical installation of Glycosaminoglycan (GAG); management of painful bladder, including intravesical installation of Glycosaminoglycan (GAG); prostatic disease management including bipolar TURP and minimally invasive Urolift©; erectile dysfunction, foreskin, testicular and scrotal problems; urological cancer

Languages spoken: Arabic/English

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Mr Jas Kalsi

/ Consultant Urologist and Male Fertility Expert

Urology

Clinical interests: Investigation and treatment of male lower urinary tract symptoms: Lead for Gold standard Holmium laser enucleation (HoLEP). Offers minimally invasive treatments such as including Rezum and Urolift. Investigation for raised PSA, haematuria and UTIs. Investigation and treatment of male sexual dysfunction including male fertility, erectile dysfunction, Peyronie’s disease and microsurgery for Varicoceles (enlarged veins around testes). Lead in management of scrotal lesions including testicular cancer.

Languages spoken: English/Hindi/Punjabi

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Prof Asif Raza

/ Consultant Urological Surgeon

Urology, General, Urinary tract stones

Clinical interests: Keyhole kidney and laser stone surgery (endourology) prostate problems both benign and cancer related offering prostate cancer screening, prostate surgery including green light laser surgery for benign prostatic enlargement, all general urological conditions in men and women including urinary infections, blood in the urine, penile and testicular problems as well as bladder problems.

Languages spoken: English/Hindi/Punjabi/Urdu

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Mr Mathias Winkler

/ Consultant Urologist

Urology, General

Clinical interests: General Urology, urinary symptoms, prostate problems, scrotal lumps, blood in the urine, suspected cancer in kidney, prostate, bladder or testes, kidney stones, abnormal PSA, second opinion on cancer diagnosis and management and laraparaoscopic pelvic cancer surgery

Languages spoken: English/German

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Book an appointment today

Our telephone lines are open 8am to 8pm Monday to Friday and 8am to 2pm Saturdays.

Please note - regrettably we are unable to answer specific medical questions or offer medical advice via email or telephone.