THE SIGNIFICANCE OF HEMATURIA IN PATIENTS INFECTED WITH THE HUMAN-IMMUNODEFICIENCY-VIRUS

Purpose: We determined the importance of hematuria in patients infecte d with the human immunodeficiency virus (HIV). Materials and Methods: The records of 1,326 HIV infected patients with yearly evaluations wer e reviewed for hematuria and evaluation results. Mean followup was 2.1 years. Results: A total of 331 patients (25.0%) had 1 episode of hema turia and 67 were evaluated with 5 significant diagnoses made. Managem ent was affected in only 3 of these patients. No occult genitourinary tumors were found. Conclusions: In young, asymptomatic, HIV infected p atients with microscopic hematuria a urological evaluation can be safe ly omitted in the presence of normal renal function and a benign urolo gical history.