A 58-year-old woman has urinary urgency and two episodes of visible haematuria. She has smoked for 30 years. Urine culture is negative and symptoms

Question

A 58-year-old woman has urinary urgency and two episodes of visible haematuria. She has smoked for 30 years. Urine culture is negative and symptoms persist after empirical antibiotics from an urgent care centre. When should this patient be referred?

Accepted Answer

Urgent suspected cancer referral for visible haematuria

Answer

Start vaginal oestrogen and no further testing

Answer

Arrange pelvic floor physiotherapy as first-line

Answer

Repeat antibiotics for presumed resistant UTI

Answer

Treat as overactive bladder and review in 6 months

Visible haematuria — DRCOG MCQ

A 58-year-old woman has urinary urgency and two episodes of visible haematuria. She has smoked for 30 years. Urine culture is negative and symptoms persist after empirical antibiotics from an urgent care centre. When should this patient be referred?