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Transient causes to be excluded:
What is significant haematuria?
Follow pathway to determine management – referral urgency according to updated 2ww guidelines.
Refer for Urological assessment unless clear evidence of urinary tract infection (symptoms, MC&S,results response to antibiotics)
For patients who have had a urological cause excluded, or have not met the referral criteria for a urological assessment, a nephrology referral should be considered. The need for a nephrology referral in this situation depends on factors other than simply the presence of haematuria. See NICE chronic kidney disease guidelines for further information.
Patients not meeting criteria for referral to urology or nephrology, or who have had negative urological or nephrological investigations, need long term monitoring due to the uncertainty of the underlying diagnosis.
Patients should be monitored for the development of: