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Male: You find blood in the urine, gross, large; you are concerned about it and they come to you persistent more than a few days. What would you be concerned about and what you should do about it.
Doctor: You have to see if the blood is with pain or without pain. When it is pain that is usually good, it could be a stomach ache most of the time, it could be an infection a lot of times, it could be an hemorrhagic cystitis, it could be a bleeding coming from the prostate, so usually with pain that is a good sign. When there is no pain with a blood and it is total hematuria, that means the entire urination is red. That is usually something that has to be evaluated very carefully and what you should also do a CAT scan and you do certain know the studies, one of the newer studies with some of them is called the CTU or the MRU. They have a high yielding of finding problems in the urinary tract because the bleeding could be coming from any place. It could be coming from the kidney, it could be coming from the two pep that connects the kidney and into the bladder, it could be coming from the bladder, it could be coming from the prostate from the urethra all the way down to the meatus which is the tip of the penis or the tip of the vagina where the urethra comes out and it is usually urine. So anything could give you the blood in the urine especially without pain that has to be evaluated and it will show you what is indicated.
Now this is when you have the gross hematuria, it has been shown and opted in certain studies that up to about 6% of the people that have microscopic hematuria has some malignancy in there urinary tract, so it is a high number. Therefore, it is recommended that all of this people should be evaluated.
Male: Which includes?
Doctor: A urine for cytology that has a very poor yielding. A phase if this cytology is atypical or it is abnormal or it is positive is cystoscopy, a CTU, or an MRU which is something that will evaluate your urinary tract and a cystoscopy.
Male: And if you find a cancer what is the most luckily suicide cancer location cancer.
Doctor: The most common is the bladder. The bladder cancer is the most commonly found. It is usually associated with a whole bunch of things, it is not like a cancer of the prostate that is genetic and it gets the information when you come to this world with the information that you are going to get cancer of the prostate. The bladder is different.
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