Male Speaker 1: You find blood in the urine it grows large, you're concerned about it, they come to you, it's persistent more than a few days, what would you be concerned about, what we should do about it?
Male Speaker 2: You have to see if the blood is with pain or without pain, when it's with pain it's usually good, it could be a stone, most of the time, it could be an infection, lot of times it could be hematologic cystitis, it could be bleeding coming from the prostate. So usually with pain is a good sign. When there is no pain with the blood and it's total hematuria, that means the entire urination is red, that's usually something that has to be evaluated very carefully, and what you do is you do also you do a CAT scan, well you do certain other studies, one of the newer studies which some of them it's called the CTU or the MIU. They have the 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 tube that connects the kidney into the bladder, it could be coming from the bladder, it could be coming from the prostrate, from the urethra all the way down to the meatitis which is the tip of penis or the tip of the vagina where the urethra comes out and it gives the urine. So anything could give you the blood in the urine, especially without pain has to be evaluated, it's always indicated. Now, this is when you have the gross hematuria, it has been showed up in certain studies that up to about 6% of the people they have microscopic hematuria had some malignancy in their urinary tract. So it's a high number, therefore it's recommended that all these people should be evaluated.
Male Speaker 1: Which includes?
Male Speaker 2: Which includes a urine flow cytology that has very, very poor yielding. If this, if this cytology is a typical or its abnormal or its positive a cystoscopy, a CTU or an MIU in which is somebody is going to evaluate your urinary tract and a cystoscopy.
Male Speaker 1: And if you find a cancer, what's the most likely source or location of cancer?
Male Speaker 2: The most common is the bladder. The bladder cancer is the most common found. It's usually associated with a whole bunch of things, it's not like the cancer or the prostate that is genetic and it gets the information that you come to this world with the information that you're going to get cancer or the prostate, the bladder is different.
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