Question

A 36-year-old with persistent microhematuria (≥3 RBC/HPF) is low risk (no smoking, age <40, no gross hematuria). What is the recommended initial approach?

Accepted Answer

Risk-based approach; shared decision-making with repeat urinalysis vs targeted imaging

Answer

Immediate CT urography and cystoscopy for all

Answer

Urine cytology only

Answer

Empiric antibiotics then dismiss if improved

Answer

No follow-up needed ever

Practice question

A 36-year-old with persistent microhematuria (≥3 RBC/HPF) is low risk (no smoking, age <40, no gross hematuria). What is the recommended initial approach?