Differential diagnosis
Common
- Urinary tract infection (child)
Infrequent
- Renal stones
- Bladder cancer
- Renal cancer
- Acute pyelonephritis
- Prostate cancer
- Endometrial cancer
- IgA nephropathy
Rare
- Autosomal dominant polycystic kidney disease
- Polyarteritis nodosa
- Post-streptococcal glomerulonephritis
- Wilms' tumour
- McArdle's disease
Specific differential diagnosis
Further management
NICE cancer referral guidelines for bladder cancer suggest the following:
Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for bladder cancer if they are:
Consider non-urgent referral for bladder cancer in people aged 60 and over with recurrent or persistent unexplained urinary tract infection.
NICE cancer referral guidelines for renal cancer suggest the following:
Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for renal cancer if they are aged 45 and over and have:
Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for bladder cancer if they are:
- aged 45 and over and have:
- unexplained visible haematuria without urinary tract infection or
- visible haematuria that persists or recurs after successful treatment of urinary tract infection, or
- aged 60 and over and have unexplained non‑visible haematuria and either dysuria or a raised white cell count on a blood test.
Consider non-urgent referral for bladder cancer in people aged 60 and over with recurrent or persistent unexplained urinary tract infection.
NICE cancer referral guidelines for renal cancer suggest the following:
Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for renal cancer if they are aged 45 and over and have:
- unexplained visible haematuria without urinary tract infection or
- visible haematuria that persists or recurs after successful treatment of urinary tract infection.
TYPES
Non-visible haematuriaVisible haematuria