Question

A 72-year-old man presents with painless macroscopic haematuria. This was a single episode yesterday, and his urine is clear today. He is a lifelong smoker. Urine dipstick confirms haematuria (3+ blood). What is the most appropriate next step?

Accepted Answer

Refer urgently via 2-week wait pathway for urology assessment

Answer

Reassure and repeat urine dipstick in 1 week

Answer

Arrange renal ultrasound scan

Answer

Treat for presumed UTI with antibiotics

Answer

Check PSA level

Practice question

A 72-year-old man presents with painless macroscopic haematuria. This was a single episode yesterday, and his urine is clear today. He is a lifelong smoker. Urine dipstick confirms haematuria (3+ blood). What is the most appropriate next step?