Microhematuria: AUA/SUFU Guideline.

The Journal of Urology
Daniel A BarocasLesley H Souter

Abstract

Patients presenting with microhematuria represent a heterogeneous population with a broad spectrum of risk for genitourinary malignancy. Recognizing that patient-specific characteristics modify the risk of underlying malignant etiologies, this guideline sought to provide a personalized diagnostic testing strategy. The systematic review incorporated evidence published from January 2010 through February 2019, with an updated literature search to include studies published up to December 2019. Evidence-based statements were developed by the expert Panel, with statement type linked to evidence strength, level of certainty, and the Panel's judgment regarding the balance between benefits and risks/burdens. Microhematuria should be defined as ≥ 3 red blood cells per high power field on microscopic evaluation of a single specimen. In patients diagnosed with gynecologic or non-malignant genitourinary sources of microhematuria, clinicians should repeat urinalysis following resolution of the gynecologic or non-malignant genitourinary cause. The Panel created a risk classification system for patients with microhematuria, stratified as low-, intermediate-, or high-risk for genitourinary malignancy. Risk groups were based on factors including...Continue Reading

Citations

Apr 4, 2021·Cancers·Vincenzo K WongCatherine E Devine
Jul 23, 2021·International Urogynecology Journal·Colby J SchrumJonathan S Shaw
Jul 29, 2021·Urologic Oncology·Adam S FeldmanDaniel W Lin
Aug 11, 2021·JAMA : the Journal of the American Medical Association·Clark JudgeSarah Faris
Jul 30, 2021·International Journal of Clinical Practice·Adem SancıKadir Turkolmez

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