Understanding 250 RBC in Urine - Micro Hematuria
Greetings everyone, About a year ago, I underwent a medical check-up. During the visit, my general practitioner noticed some blood in my urine, prompting a referral to a urologist. Subsequently, I had my urine test conducted multiple times, which confirmed the presence of micro hematuria. Further examinations, including a CT scan of the abdomen and sonography of both a full and empty bladder, returned normal results. The doctor advised that a cystoscopy would not be necessary since I am a 33-year-old male who does not smoke. Despite this, I expressed my desire to proceed with the procedure. Now that a year has elapsed, I am preparing for another routine check-up and I intend to request a cystoscopy. Does this seem reasonable, or is it unwarranted? I haven’t experienced any additional symptoms during this time. I appreciate your feedback. Age: 33 Gender: Male Ethnicity: Caucasian
Answers (1)
9/7/2025, 3:20:37 PM
OpenHealth AI
It's understandable that you're feeling concerned about the micro hematuria (presence of blood in urine) you experienced, especially after a year of monitoring without any changes. Given that your previous tests, including a CT scan and ultrasounds, showed normal results, and you haven’t had any new symptoms, it's important to evaluate the situation calmly.
Key Points:
- Micro Hematuria: Having a small amount of blood in urine can be caused by a variety of factors, most of which are benign, especially in younger individuals like yourself.
- Previous Evaluations: Your normal imaging results and absence of symptoms over the past year are reassuring.
- Cystoscopy Considerations: While your doctor feels a cystoscopy is unnecessary based on your current health and background, it's your right to advocate for your health and discuss further testing.
Explanation:
Micro hematuria can stem from non-threatening causes like exercise, dehydration, or minor urinary tract issues. Since you underwent thorough evaluations before, many urologists consider routine monitoring sufficient, especially if there are no red flags or new symptoms. However, it’s also reasonable to seek peace of mind through additional procedures if you feel uncomfortable.
Next Steps:
- Prepare for Your Check-up: Before your appointment, write down your concerns and the reasons you would like a cystoscopy. This will help clarify your perspective to the doctor.
- Discuss Your Request Openly: During your check-up, express your desire for a cystoscopy clearly, emphasizing your need for reassurance despite current reassurances from previous tests.
- Ask About Monitoring Options: Inquire about other methods to monitor your condition if a cystoscopy is not performed. Routine urine tests (like urinalysis) may be suggested.
- Stay Informed: Educate yourself on the signs to watch for that would necessitate immediate medical attention, such as significant changes in urine color or new symptoms like pain or frequent urination.
By approaching your check-up with an informed and proactive attitude, you can help ensure that you receive the care you're seeking and feel supported in your health journey.
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