Based on history, VH can sometimes be classified into initial, total and terminal hematuria. Initial hematuria is described for visible blood/bloodstained urine reported by the patient that is seen at the start of urine flow ("blood right at the start of the urine flow and then clear urine afterward").
(13-15) In our study, there were no UUT malignancies among patients with a history consistent with LUT bleeding, and one speculates, though without evidence thus far, that initial or terminal hematuria would be inconsistent with bleeding from higher up in the urinary tract.
Although utilization of voided urine cytology (VUC) in the assessment of patients with initial or terminal hematuria was not part of our original study remit, we analyzed its value in our cohort.
An unusual cause of terminal hematuria
in a child: Eosinophilic cystitis.
Bilen et al., "An unusual cause of terminal hematuria
in a child: eosinophilic cystitis," Journal of the Canadian Urological Association, vol.
A history of suprapubic pain that is aggravated by exercise, an interruption of the urinary stream, and terminal hematuria
are helpful but not pathognomonic of the disease because they may be caused by other lesions in the bladder.
A 25-year-old male presenfted with frequent micturition, urgency of urination, urine pain, terminal hematuria
, and dysuria for 2 years.
Terminal hematuria occurs at the end of the urinary tract and may have a prostatic, bladder, or trigonal cause.[sup.1] Gross hematuria in children is rare and is often associated with benign conditions, involving an infection or a urolithiasis.[sup.2,3] Eosinophilic cystitis (EC) is a rare inflammatory disease of the bladder with unknown etiology, characterized by numerous eosinophilic infiltrations of the bladder.[sup.4] Patients with eosinophilic cystitis show irritative urination symptoms frequently, with a possible need for urgency, alongside dysuria, gross hematuria, suprapubic pain and painful urination.
Terminal hematuria is a pathology encountered mostly as a result of inflammation of bulbar urethra and bladder neck.
Terminal hematuria also can be seen in both EC and bladder cancer.