How is hematuria treated?

Updated: May 10, 2020
  • Author: Sanjeev Gulati, MD, MBBS, DNB(Peds), DM, DNB(Neph), FIPN(Australia), FICN, FRCPC(Canada); Chief Editor: Craig B Langman, MD  more...
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General principles of treatment are as follows:

  • Hematuria is a sign and not itself a disease; thus, therapy should be directed at the cause

  • Asymptomatic (isolated) hematuria generally does not require treatment

  • In conditions associated with abnormal clinical, laboratory, or imaging studies, treatment may be necessary, as appropriate, with the primary diagnosis

  • Surgical intervention may be necessary with certain anatomic abnormalities (eg, ureteropelvic junction obstruction, tumor, or significant urolithiasis) but not necessarily to treat hematuria.

  • Dietary modification is usually not indicated

  • Patients with persistent microscopic hematuria should be monitored every 6-12 months for the appearance of signs or symptoms indicative of progressive renal disease

See Treatment and Medication for more detail.

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