Visible haematuria without pain or infection should be evaluated for malignancy, even if it stops on its own. Standard assessment includes urine culture, renal function, upper tract imaging and cystoscopy, following local pathways.
Risk is higher with age, smoking and occupational exposures, but a negative urine dip or a single clear episode does not remove the need to assess.
- Do not wait for recurrence.
- Exclude infection with a urine culture.
- Arrange upper tract imaging and cystoscopy per local pathway.
- Ask about smoking and occupational exposures.
Why it matters
Bladder and kidney cancers often first present as painless bleeding that stops by itself.
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