Significance of the evaluation of asymptomatic microscopic haematuria in young men
| Autor: | U. Treiber, C. Sparwasser, H. U. Cimniak, R. A. Pust |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male Urologic Diseases medicine.medical_specialty Addis count Adolescent Urology Urinary system urologic and male genital diseases Asymptomatic Nephropathy Glomerulopathy medicine Humans Family Prospective Studies Urinary Tract Physical Examination Hematuria Ultrasonography medicine.diagnostic_test business.industry Biopsy Needle Urography Cystoscopy Middle Aged medicine.disease Surgery Etiology Renal biopsy medicine.symptom business Algorithms Pyelogram |
| Zdroj: | British Journal of Urology. 74:723-729 |
| ISSN: | 1464-410X 0007-1331 |
| DOI: | 10.1111/j.1464-410x.1994.tb07114.x |
| Popis: | Objective To evaluate the extent of diagnostic evaluation that is necessary in young men with asymptomatic microscopic haematuria. Patients and methods A group of 157 men (mean age 24.8 years [range 18–53]) who presented with asymptomatic haematuria were investigated with repeated urine analysis, Addis count, urinary cultures, blood tests, ultrasonography, pyelography, cystourethroscopy and finally renal biopsy. Results The results showed pathological findings in 31.2% of patients. Of the 157 individuals, 33.1% did not complete the study. In 14.6% urological disease was found, including two patients with urothelial cancer. Renal biopsy detected glomerulopathy in 16.5% of all patients. IgA nephritis being the most common diagnosis (42% of all biopsies). Conclusion Even in young patients, microscopic haematuria should be investigated and followed thoroughly. Renal biopsy seems to be optional: once a diagnosis is established repeated and unnecessary examinations can be avoided. |
| Databáze: | OpenAIRE |
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