Question

A 70-year-old man is found to have asymptomatic microscopic haematuria on routine urine dipstick testing during an annual health check. His eGFR and blood pressure are normal. According to NICE NG12, what is the most appropriate next step after confirming haematuria on repeat testing?

Accepted Answer

Refer routinely to urology for cystoscopy and upper tract imaging

Answer

Reassure and monitor annually

Answer

Refer urgently (2-week wait) for investigation of suspected urological cancer

Answer

Arrange renal ultrasound only

Answer

Measure urine protein:creatinine ratio (PCR)

Practice question

A 70-year-old man is found to have asymptomatic microscopic haematuria on routine urine dipstick testing during an annual health check. His eGFR and blood pressure are normal. According to NICE NG12, what is the most appropriate next step after confirming haematuria on repeat testing?