Question

A 60-year-year-old man presents with a 2-week history of painless gross haematuria. He is otherwise well with no other urinary symptoms. He is a smoker. What is the most appropriate initial step in his investigation pathway?

Accepted Answer

Urgent referral (2-week wait) to urology for cystoscopy and upper tract imaging

Answer

Urine dipstick and microscopy, culture, and sensitivity (MC&S)

Answer

Empirical antibiotics for presumed UTI

Answer

PSA test and digital rectal examination

Answer

Reassurance and review if symptoms persist

Practice question

A 60-year-year-old man presents with a 2-week history of painless gross haematuria. He is otherwise well with no other urinary symptoms. He is a smoker. What is the most appropriate initial step in his investigation pathway?