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Microhematuria in Women Presenting for Overactive Bladder

  • Lower Urinary Tract Symptoms and Voiding Dysfunction (J Sandhu, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Microscopic hematuria and overactive bladder are two common urologic conditions. The objective of this review is to provide an overview of current literature as well as highlight important guidelines that will aid physicians in the diagnostic workup of microscopic hematuria in patients experiencing symptoms of overactive bladder.

Recent Findings

Updated microscopic hematuria guidelines provide a structured and appropriate workup for women based on risk factors, which stratifies patients to prevent unnecessary procedures and imaging. Women presenting with microscopic hematuria in the setting of overactive bladder should undergo microscopic hematuria workup according to their risk stratification while receiving appropriate treatment for their overactive bladder.

Summary

The physician should consider the presence of irritative voiding symptoms during the investigation and management of microscopic hematuria in patients with overactive bladder and should not delay overactive bladder treatment due to the presence of microscopic hematuria.

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Abbreviations

MH:

Microscopic hematuria

LUTS:

Lower urinary tract symptoms

OAB:

Overactive bladder

AUA:

American Urologic Association

AUGS:

American Urogynecologic Society

EAU:

European Association of urology

IUGA:

International Urogynecological Association

ICS:

International Continence Society

IC/BPS:

Interstitial cystitis/bladder pain syndrome

GSM:

Genitourinary syndrome of menopause

UA:

Urinalysis

CTU:

Computerized tomography urogram

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Buford, K., Jivanji, D. & Polland, A. Microhematuria in Women Presenting for Overactive Bladder. Curr Urol Rep 24, 25–32 (2023). https://doi.org/10.1007/s11934-022-01128-3

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