Multi-detector CT (MDCT) urography has become the standard examination for unexplained, painless hematuria
, allowing the assessment for numerous etiologies in a single study by imaging during multiple contrast phases.
Unlike children who present with a palpable abdominal mass, adults present with painless hematuria
, weight loss, decreased performance status and flank pain (6).
(1) In most cases, the only symptom is painless hematuria
. (1) Massive hematuria has been reported in upto 71% of patients.
The role of imaging in the investigation of painless hematuria
A 68-year-old male presented to a southwestern Veteran's Administration (VA) Medical Center Emergency Department (ED) complaining of one episode of gross, painless hematuria
. The veteran is a Purple Heart recipient who was exposed to Agent Orange during his tour in Vietnam.
A 60-year-old gentleman presented in clinic complaining of dysuria and intermittent painless hematuria
and severe penile pain.
was the common (71.40%) symptom in patients with neoplastic conditions (Table 8) and the location of the neoplasms was in the upper pole (Table 9).
In LGMPs, painless hematuria
was the most-common symptom, whereas dysuria, pelvic pain, and symptoms related to obstruction or infections occurred more rarely (Table 1).
Primary localized AA type amyloidosis of urinary bladder: case report of rare cause of episodic painless hematuria
c--Gross, painless hematuria
is the first symptom in 85% of persons with bladder cancer (Russell, 2009).
The most common manifestation of bladder pheochromocytoma is painless hematuria
in 55-65% of cases (3,4).
He was also alarmed by a 1-day history of painless hematuria
. He denied hemoptysis, melena, hematemesis, epistaxis, or bruising.