PMID: 7536272May 1, 1995Paper

Anticoagulant associated hematuria: a prospective study

The Journal of Urology
J G Van Savage, F A Fried

Abstract

We studied prospectively 32 consecutive patients with new onset of gross or microscopic hematuria while on anticoagulant therapy. Of the patients 19 men and 11 women (mean age 65 years) underwent urological evaluation. Of 6 patients with microscopic hematuria 3 with nephrolithiasis subsequently underwent extracorporeal shock wave lithotripsy. Two of 24 patients (7%) with gross hematuria had neoplastic disease invading the bladder, 1 had benign prostatic hyperplasia requiring resection, 1 had urethral stricture, 1 had ureteropelvic junction obstruction and 1 had nephrolithiasis. Thus, significant urinary tract disease was present in 9 patients (30%). Hematuria resolved in more than 90% of the patients after treatment. Based upon these observations, we believe that gross or microscopic anticoagulant associated hematuria is frequently precipitated by a significant genitourinary pathological condition and its prompt evaluation is recommended.

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Citations

Jun 6, 2003·The New England Journal of Medicine·Robert A Cohen, Robert S Brown
Dec 23, 2008·Obstetrical & Gynecological Survey·Katherine Shaio SandhuMagdy S Mikhail
Aug 20, 2014·Advances in Urology·Fiachra MoloneyMichael M Maher
Aug 20, 2014·Clinical and Experimental Nephrology·Shigeo HorieSatoru Muto
Feb 7, 2001·Chest·J AnsellD Matchar
Nov 10, 2012·International Journal of Clinical Practice·T R L Griffiths, UNKNOWN Action on Bladder Cancer
Jun 20, 2015·Advances in Chronic Kidney Disease·Matthew A Niemi, Robert A Cohen
Jul 31, 2013·Urology·Joo Yong LeeKang Su Cho
Dec 9, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Hee Tae YuBoyoung Joung
Aug 9, 2003·Expert Opinion on Drug Safety·Rebecca J Beyth
Jan 25, 2017·Expert Review of Anticancer Therapy·Petros SountoulidesLinda Metaxa
Mar 31, 2004·The Medical Clinics of North America·Edward J YunPeter R Carroll

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