Question

A 60-year-old man presents with painless macroscopic haematuria. This was a single episode yesterday. He is otherwise well and has no other urinary symptoms. He is a lifelong smoker. What is the most appropriate next step according to NICE guidelines?

Accepted Answer

Urgent referral (within 2 weeks) to a urology clinic for assessment

Answer

Reassure and monitor

Answer

Perform urine dipstick and microscopy

Answer

Measure PSA level

Answer

Arrange renal ultrasound

Practice question

A 60-year-old man presents with painless macroscopic haematuria. This was a single episode yesterday. He is otherwise well and has no other urinary symptoms. He is a lifelong smoker. What is the most appropriate next step according to NICE guidelines?