Editing Microscopic Hematuria (2020 AUA Guidelines) (section)

=== <span style="color:#ff0000">Risk stratification</span> ===

* '''<span style="color:#ff0000">Factors to consider (5):</span>'''
*# '''<span style="color:#ff0000">Age</span>'''
*# '''<span style="color:#ff0000">Smoking</span>'''
*# '''<span style="color:#ff0000">Urinalysis</span>'''
*# '''<span style="color:#ff0000">Risk factors for urothelial cancer</span>'''
*# '''<span style="color:#ff0000">Gross hematuria</span>'''

{| class="wikitable"
|
|'''<span style="color:#ff0000">Low (meets all criteria)'''
|'''<span style="color:#ff0000">Intermediate (any of these criteria)'''
|'''<span style="color:#ff0000">High (any of these criteria)'''
|-
|'''Age'''
|
* Females age <50 years
* Males age <40 years
|
* Females age 50-59 years
* Males age 40-59 years
|
* Females or Males ≥60 years
|-
|'''Smoking'''
|Never smoker OR <10 pack years
|10-30 pack years
|>30 pack years
|-
|'''UA'''
|3-10 RBC/HPF on a single urinalysis
|
* 11-25 RBC/HPF on a single urinalysis OR
* Low-risk patient with no prior evaluation and 3-10 RBC/HPF on repeat urinalysis
|>25 RBC/HPF on a single urinalysis
|-
|'''Risk factors for urothelial cancer (see below)'''
|None
|Yes
|
|-
|'''Gross hematuria'''
|
|
|Yes
|}

* '''<span style="color:#ff0000">Recommended investigations based on risk stratification (4)</span>'''
*# '''<span style="color:#ff0000">History and Physical Exam (all patients)</span>'''
*# '''<span style="color:#ff0000">Laboratory: serum Cr and GFR (all patients);</span> urine cytology or other markers are not recommended'''
*# '''<span style="color:#ff0000">Imaging: upper tract imaging (intermediate, high-risk, and if family history of RCC or other genetic renal tumor syndrome)</span>'''
*#* '''<span style="color:#ff0000">US for intermediate-risk</span>'''
*#** '''<span style="color:#ff0000">Optional for low-risk</span>'''
*#* '''<span style="color:#ff0000">CT urography for high-risk</span>'''
*# '''<span style="color:#ff0000">Cystoscopy (intermediate and high-risk)</span>'''
*#* '''<span style="color:#ff0000">Optional for low-risk</span>'''
**'''<span style="color:#ff0000">Low-risk patients who initially elected not to undergo cystoscopy or upper tract imaging should undergo repeat UA within 6 months'''