ASSOC. PROF. DR.ARİF DEMİRBAŞUrologistMENUTESTIMONIALS+90 532 485 0016Contact Information

Bloody Urine

Blood in Urine (hematuria)

Blood in the urine, darkening of the urine color is one of the conditions that cause anxiety in individuals.

Bloody Urine

This condition, which is called hematuria in medical terminology, is divided into two groups. Microscopic hematuria is bleeding that is invisible to the naked eye and can be detected by laboratory tests (urine analysis).

Macroscopic hematuria (gross hematuria) describes bleeding that patients can see with the naked eye. Although macroscopic or microscopic bleeding is not directly related to the severity of the pathology, macroscopic hematuria is more likely to develop as a result of a significant pathological problem.

When such a patient is admitted, the patient's history and physical examination findings are important for us urologists. For example, in young individuals, burning during urination for a day or two and bleeding in the urine are often the harbingers of urinary tract infection.

Apart from this, bleeding is insignificant in patients with severe side pain, which we call renal colic, with nausea and vomiting and in whom we think of stones in the urinary system, and these bleedings are not always at a life-threatening level. Again, bleeding in the urine can be attributed to the side effect of the drug, after urological cancers are excluded in patients who use blood thinners, mostly due to heart or neurological diseases.

As a result, although seeing blood in the urine is a guide especially for the investigation of urological cancer, it can also be accompanied by simple diseases (urinary tract infection, cystitis, vaginitis) to a large extent. It may be unnecessary to panic without visiting your doctor.

However, in case of bleeding in the urine even once, a urologist should be consulted and tests (urinalysis, PSA, creatinine, hemogram, etc.) and imaging (ultrasonography, tomography, cystoscopy) should be performed according to risk groups.

The main causes of hematuria (bleeding in the urine) are;

  • Urinary Tract Infections (cystitis, prostatitis, pyelonephritis, urethritis),
  • Kidney stone,
  • Ureteral Stone,
  • Bladder Stone,
  • Prostate Enlargement,
  • Kidney failure,
  • Glomerulonephritis,
  • Prostate cancer,
  • Bladder cancer,
  • Kidney cancer,
  • Collecting System Tumors,
  • Intense Exercise,
  • Medicines (Especially known as blood thinners; antiaggregant, anticoagulant),
  • leeding Disorders,
  • Trauma History.

Individuals with male gender, advanced age, smoking, occupational history (chemical exposure),radiotherapy history, cancer history, chronic irritation, recurrence of bleeding, and family history are in the risk group, and in such patients, imaging with cystoscopy should also be performed. Thanks to fiber optic magnifiers and cameras, even invisible tumoral structures in the urethra (urinary tract) and bladder are detected.

As we can encounter simple and benign diseases, blood in the urine is a symptom that cannot be neglected when early diagnosis is taken into account in severe cancer cases. When you encounter this situation, we recommend that you consult a urologist.

I wish you healthy days.

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Update Date: 19.08.2022
Assoc. Prof. Dr. Arif Demirbaş
Doç. Dr. Arif Demirbaş
Üroloji Uzmanı
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
Assoc. Prof. Dr. Arif Demirbas
Urology Specialist
Dr. Arif Demirbaş was born in 1985 in Turkey. He graduated from Uludag University Faculty of Medicine in 2010. He completed his urology residency training at Ankara Training and Research Hospital between 2011-2016. As a result of intensive academic studies after his specialization, he received the title of Associate Professor in March 2021.

Although he has experience with each of urological diseases, he has a special interest in the diagnosis, medical treatment and surgical treatment of urological cancers (prostate cancer, kidney cancer, bladder cancer and testicular cancer),kidney stone diseases, benign prostate enlargement, adrenal gland diseases (surrenal gland) and pediatric urology diseases (ureteropelvic stenosis, vesicoureteral reflux, undescended testicles). If possible, the surgeries are planned laparoscopically and endoscopically in a way that creates the least discomfort for the patient as required by the era.
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