A 55-year-old man presents with haematuria and dysuria. He has a 40-pack-year smoking history. Urine microscopy confirms red blood cells and no casts....

Question

A 55-year-old man presents with haematuria and dysuria. He has a 40-pack-year smoking history. Urine microscopy confirms red blood cells and no casts. What is the most important next step in investigation?

Accepted Answer

Refer for cystoscopy and imaging of the urinary tract

Answer

Repeat urinalysis in 1 year

Answer

Treat empirically for urinary tract infection and no further tests

Answer

Arrange renal ultrasound only

Answer

Check PSA only

au-racgp MCQ (SBA): Macroscopic haematuria - malignancy work-up

A 55-year-old man presents with haematuria and dysuria. He has a 40-pack-year smoking history. Urine microscopy confirms red blood cells and no casts. What is the most important next step in investigation?