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Visible Haematuria with no UTI symptoms
A digital rectal examination and a prostate-specific antigen (PSA) test ( after counselling) are recommended for patients with symptoms of haematuria
Ensure not due to menstruation in women (within 2 days prior to starting period and a week of finishing a period) and more than 48 hours after sexual intercourse.
Include in referral letter where available:
Unexplained haematuria refers to patients who do not currently have conditions that can cause haematuria e.g. urinary stone disease and UTI.
Dysuria is defined as burning or discomfort in the urethra on voiding.
Menstruating females may have non-visible haematuria for 3 days prior to and 5 days post menstruation. Non-visible haematuria may also be present for 3 days post intercourse. Please exclude these prior to referral.
Patients do not need referral:
Refer using e-Referrals
Refer using e-Referrals.
Link to full reference guide to NICE referral guidelines for suspected cancer
This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.
Publication date: December 2016
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