Possible Causes for painless hematuria Neoplasm of the Urinary Bladder The main clinical presentation is gross painless hematuria, seen in almost 85% of patients when the diagnosis is made. [symptoma.com] Symptoms of bladder cancer include painless hematuria, frequent urination, and dysuria. Irritation from the tumor may mimic cystitis. [medical-dictionary.thefreedictionary.com] The diagnosis is most often made incidentally during the evaluation of painless hematuria and the subsequent discovery of an urothelial neoplasm. [symptoma.com] Papilloma of the Bladder A 7-year-old male presented with intermittent painless hematuria. [ncbi.nlm.nih.gov] They present with painless hematuria and occur as solitary mucosal nodules or sessile polypoid lesions 1 to 3 cm. [med-ed.virginia.edu] The tumors are seen incidentally or present with painless hematuria. They arise as single isolated lesions but multiple and sequential lesions are not uncommon. [med-ed.virginia.edu] Urinary Bladder Transitional Cell Carcinoma Patients with transitional cell carcinoma of the bladder classically present with irritative voiding symptoms or painless hematuria. [ncbi.nlm.nih.gov] Most patients with TCC display urinary signs and symptoms, predominantly painless hematuria. [symptoma.com] The most typical symptom, painless hematuria, calls for further cystoscopy investigation, especially in high-risk patients (smokers, workers exposed to carcinogenic chemicals [symptoma.com] Cystitis Cystica We describe the case of cystitis cystica in a 13 year-old boy who presented with painless hematuria and was suspected to be bladder neoplasm on imaging. [ingentaconnect.com] However, in symptomatic cases, painless hematuria and various other symptoms such as dysuria, urinary frequency and urgency occur. [symptoma.com] A young man admitted with complaints of painless paroxysmal gross hematuria was found to have bilateral vesical masses involving the bladder base, trigone and ureteric orfices [ncbi.nlm.nih.gov] Renal Pelvis Transitional Cell Carcinoma A 56-year-old man with painless hematuria was found to have a papillary transitional cell carcinoma of the renal pelvis with an accompanying nodule composed of multinucleated [ncbi.nlm.nih.gov] hematuria” Risk factors Exposure to cyclophosphamide Phenacetin Chronic urinary stasis Smoking Metastasizes to Regional lymph nodes Liver Lung Bone Imaging findings IVU Enlarged [learningradiology.com] hematuria. [slideshare.net] Urinary Tract Infection There is painless gross hematuria or new renal insufficiency. Fever persists for 72 hours. [msdmanuals.com] There is painless gross hematuria or new renal insufficiency. Fever persists for ≥ 72 hours. [merckmanuals.com] Test patients for structural abnormalities if infections recur or are complicated, nephrolithiasis is suspected, there is painless hematuria or new renal insufficiency, or [msdmanuals.com] Cystitis Emphysematous cystitis presenting as painless gross hematuria. [ncbi.nlm.nih.gov] Acute Cystitis There is painless gross hematuria or new renal insufficiency. Fever persists for 72 h. Urinary tract imaging choices include ultrasonography, CT, and IVU. [merckmanuals.com] Test patients for structural abnormalities if infections recur or are complicated, nephrolithiasis is suspected, there is painless hematuria or new renal insufficiency, or [merckmanuals.com] Renal Papillary Necrosis Sickle cell disease should be considered in patients with unexplained hematuria. A 26-year-old healthy Greek woman was evaluated because of new-onset painless hematuria. [nejm.org] These findings are illustrated with a case of a 9-year old girl with sickle cell disease who was referred with painless gross hematuria. [ncbi.nlm.nih.gov] Typical symptoms in both acute and chronic nephritis are painless hematuria (without RBC casts !) and pyuria. [amboss.com] Hereditary Pheochromocytoma-Paraganglioma Urinary bladder PGL may be revealed by painless hematuria and blood pressure increase after micturition. [orpha.net] Painless hematuria could be observed if paragangliomas are located within the urinary bladder wall. [symptoma.com] Squamous Cell Carcinoma of the Bladder hematuria can be microscopic or grossly visible irritative voiding symptoms frequency urgency dysuria Evaluation Gold standard cystoscopy with biopsy Radiography calcification [medbullets.com] Infrequently, it presents with microscopic hematuria. In either case, hematuria is usually painless. [symptoma.com] Painless hematuria is the most common presenting symptom of bladder cancer (occurring in approximately 85% of diagnosed cases). [clinicaladvisor.com] Urethral Carcinoma The fourth patient presented with painless hematuria and had a cystoscopy and biopsy of urethral polyps. [jhu.pure.elsevier.com] […] gross hematuria throughout micturition Flank pain Urethral carcinoma Painless gross hematuria at the beginning of micturition Bladder outlet obstruction Irritative voiding [amboss.com] Patients often present with painless gross hematuria or irritative voiding symptoms, although some cases are incidentally detected ( microscopic hematuria on urinalysis ). [amboss.com] Ureteral Carcinoma Depending on the degree of disease involvement, patients may present with painless hematuria, irritative urinary symptoms, and obstructive symptoms. 3,7 Although the cause [appliedradiology.com] hematuria” Risk factors Exposure to cyclophosphamide Phenacetin Chronic urinary stasis Smoking Metastasizes to Regional lymph nodes Liver Lung Bone Imaging findings IVU Enlarged [learningradiology.com] A typical sign is usually painless gross hematuria, often as an isolated symptom. [omicsonline.org] Primary Amyloidosis A 56-year-old man presented with a 1-year history of intermittent gross, painless hematuria. [ncbi.nlm.nih.gov] Case Report Recently in April 2011, we saw a 64-year-old male patient with painless intermittent gross hematuria. [cancerjournal.net] This report describes a 49-year-old male with repeated painless gross hematuria, who underwent transurethral resection of a suspected bladder tumor. [ncbi.nlm.nih.gov] Familial Pheochromocytoma hematuria Head and neck paragangliomas may present as enlarging masses that are asymptomatic or associated with symptoms of mass effects from size and location of tumors [basicmedicalkey.com] Urinary bladder PGL may be revealed by painless hematuria and blood pressure increase after micturition. [orpha.net] […] intraabdominal pressure, some medications, exercise, or micturition in the case of urinary bladder paragangliomas Urinary bladder paragangliomas may also be accompanied by painless [basicmedicalkey.com] Micturition Syncope Conclusion: PG of the urinary bladder is very rare and painless hematuria is a common presenting complaint. [abstracts.mirrorsmed.org] Objective, Material, Methods and Results: History of a previously healthy 53 years old male patient with a history of 3 episodes of painless gross hematuria, and 1 micturition [abstracts.mirrorsmed.org] Adenocarcinoma of the Prostate We describe a case of ductal adenocarcinoma of the prostate with endometrioid characteristics presenting as painless hematuria and intraurethral tumor. [ncbi.nlm.nih.gov] Patients may present with symptoms related to scrotal infection, painless hematuria, or an elevated PSA level secondary to inflammation. [pubs.rsna.org] A 69-year-old man had intermittent painless hematuria for 2 months. The serum prostate-specific antigen concentration was elevated (22.0 ng/mL). [ncbi.nlm.nih.gov] Bladder Malakoplakia Case Report A twelve-year-old black female was admitted to the urology service in 1972, with a history of gross, total, painless hematuria, and frequency of micturition. [kundoc.com] Recurrent Painless Hematuria Secondary To Malacoplakia Of The Urinary Bladder. Urol J. 2013;10(1):821-823. [casereports.in] […] attacks 192 of hematuria (48 per cent). [kundoc.com] Subcapsular Kidney Rupture and renal mass is the classic presentation Unenhanced CT followed by three-phase CT Enhancing renal mass Renal papillary necrosis Painful or painless hematuria Computed [aafp.org] A 55-year-old woman presented with history of painless gross hematuria, urinary frequency and urgency for 3 months. [indianjcancer.com] It can be painless, or pain can occur because of urinary obstruction from the sloughed cells. [aafp.org] Sickle Cell Nephropathy Snapshot An 18-year-old African American man with a history of sickle cell trait presents with 1 week of painless gross hematuria. [medbullets.com] RPN is usually discovered by radiologic investigation of patients with painless gross hematuria. [accessmedicine.mhmedical.com] Hematuria and Proteinuria Hematuria Painless hematuria (microscopic, macroscopic, or gross) is a common symptom of sickle cell disease (SCD). [emedicine.medscape.com] Chromophobe Renal Cell Carcinoma We report the case of a 56-year-old male who presented with 10 days history of painless hematuria. There was no palpable swelling or systemic symptoms. [ncbi.nlm.nih.gov] hematuria of three months duration. [cancerjournal.net] […] a more favorable prognosis than clear cell carcinomas, sarcomatoid carcinomas signify a poor prognosis.[1] Case Report A 35-year-old female patient presented with gross painless [cancerjournal.net] Cornual Pregnancy Cameron Doctor 12,910 satisfied customers I'm 52 and have had 5 episodes of painless hematuria since I'm 52 and have had 5 episodes of painless hematuria since age 29 (with [justanswer.com] Benign Polyp of the Ureter We report a 78-year-old female presented with intermittent painless gross hematuria initially suggestive of transitional cell carcinoma. [omicsonline.org] Case report A 53-year-old woman was admitted to the Second Clinical Hospital of North Sichuan Medical College (Nanchong, China) with gross painless hematuria for 2 years and [spandidos-publications.com] The presenting symptoms of fibroepithelial polyps are vague and non-specific, most common symptoms are gross painless hematuria and/or intermittent or recurrent flank pain [omicsonline.org] Leukoplakia of the Bladder Often, painful hematuria is associated with infectious causes, nephrolithiasis, or both, whereas painless hematuria is associated with urologic cancers. [blogs.nejm.org] Urologic causes of hematuria can be further subcategorized as painless versus painful and microscopic versus gross. [blogs.nejm.org] Tags: glomerular hematurie, hematuria, painless hematuria, prostatic acinar carcinoma, prostatic ductal adenocarcinoma Posted in Physicians-In-Training Permalink Comments [blogs.nejm.org] Malignant Neoplasm of the Urinary Bladder The classic presentation of bladder cancer is painless gross hematuria, which is seen in approximately 80-90% of patients. [emedicine.com] Bladder cancer characteristically causes blood in the urine (hematuria), which may be visible (gross/macroscopic hematuria) or detectable only by microscope (microscopic hematuria [en.wikipedia.org] Signs and symptoms Clinical manifestations of bladder cancer are as follows: Painless gross hematuria - Approximately 80-90% of patients; classic presentation Irritative bladder [emedicine.com] Benign Papilloma of the Ureter They present with painless hematuria and occur as solitary mucosal nodules or sessile polypoid lesions 1 to 3 cm. [med-ed.virginia.edu] Clinically, patients with IPB have symptoms similar to patients with urothelial cell carcinoma, and often present with intermittent and painless macroscopic hematuria or dysuria [academic.oup.com] hematuria is the most common presenting symptom. 13 Gross blood throughout micturition is suggestive of bladder cancer. [aafp.org] Carcinoma of the Prostate […] gross hematuria and severe obstructive symptoms. [ncbi.nlm.nih.gov] After the treatment symptoms of fever and burning micturition settled but the complaint of painless hematuria remained as such. [imedpub.com] None RRP pelvic lymphadenectomy, 18 hematuria mitoxantrone, cisplatin, XRT Okada E et al12 65 AUR Iliac LNs Linac RT, PEP, CDDP 18 Uchibayashi 72 LUTS None Pelvic irradiation [ncbi.nlm.nih.gov] Bladder Polyp MATERIAL AND METHODS: A 14-year-old boy presented at the Urology Department of "Elpis" Hospital complaining of painless macroscopic hematuria during the last six months. [ncbi.nlm.nih.gov] Hematuria — The most common presenting symptom is hematuria, which is typically intermittent, gross, painless, and present throughout micturition. [es.slideshare.net] The classic presentation of bladder cancer is painless gross hematuria, which is seen in approximately 80-90% of patients. [emedicine.medscape.com] Renal Tuberculosis If lesions in the bladder prior to kidney tuberculosis bleeding, it was manifested as painless hematuria whole. 3. Pyuria incidence rate of about 20%. [tcmwell.com] A 48-year-old man presented with painless left lateralizing macroscopic hematuria. [ncbi.nlm.nih.gov] The hallmark of renal TB is sterile pyuria followed by microscopic painless hematuria which is seen in 50% of cases. [omicsonline.org] Nephrolithiasis Less often, patients present with silent ureteral obstruction, unexplained persistent urinary infection, or painless hematuria. [mdedge.com]
