Microhematuria - What to do?

Asymptomatic microhematuria is a common reason for a urological consultatio n. Uncertainty prevails as to how meticulous the work-up must be, to not mi ss relevant or even life-threatening underlying diseases. To date, the Urol ogical Associations have not released any guidelines to which extent patien ts need to be examined for asymptomatic microhematuria, which therefore is managed individually by each urologist. There are various potential examina tions that can be applied, ranging from a clinical examination to a kidney biopsy. After reviewing the literature, an algorithm has been developed, which shou ld assure diagnosis of serious disease and at the same time avoid costly, u npleasant and unnecessary examinations.