Why it matters
Blood in the urine, called hematuria, can be visible (pink, red or brown urine) or microscopic (found only on a urine test). It is often caused by something benign, such as infection, a kidney stone or an enlarged prostate, but it can also be the first sign of a bladder or kidney cancer. Visible blood in the urine should always be evaluated by a urologist, even if it happens once and goes away.
Common causes
- Urinary tract infection
- Kidney or bladder stones
- Enlarged prostate (BPH)
- Kidney disease
- Recent vigorous exercise or trauma
- Bladder, kidney or upper urinary tract tumors
The evaluation
Following American Urological Association guidance, the workup is matched to your risk, based on factors such as age, smoking history, amount of blood and work exposures. It usually includes a urine test and culture, kidney function blood work, imaging of the kidneys (ultrasound or CT urogram) and a cystoscopy, a brief in-office look inside the bladder with a thin flexible camera. Cystoscopy takes only a few minutes and is done with numbing gel.
If something is found
Most patients have a benign cause or no cause found. If a tumor is found, Dr. Neal Patel's training in urologic oncology and robotic surgery, including robotic cystectomy with intracorporeal urinary diversion and zero-ischemia partial nephrectomy, allows advanced treatment to be delivered within the same practice.
Do not wait
If you see blood in your urine, or a doctor has found microscopic blood on a urine test, call 678-344-8900. Same-day and next-day appointments are often available. Seek emergency care if you have clots and cannot urinate.
Preparing for your visit with Dr. Neal Patel
Bring a list of your current medications and supplements, any prior urine, blood or PSA results, and the reports (or discs) from recent imaging. If you can, arrive with a comfortably full bladder, because a urine sample and a bladder scan are often part of the first visit. Write down your main questions so nothing is missed. A family member is welcome to join you. If you prefer Spanish or Korean, let the office know when you book so language support is ready.
Your chart is reviewed before you arrive, and insurance requirements for likely imaging or procedures are checked up front so approvals can move sooner. Before you leave, your orders, prescriptions and follow-up plan are reviewed with you, and you receive education materials tailored to your condition.
At the end of the visit you will receive a written summary in your preferred language that explains what was found, what was ordered and what happens next. Your primary care physician or referring doctor receives a clear update letter with findings, plan and next steps, so everyone caring for you stays informed. Appointments are available at the Johns Creek, Cumming, Decatur and Braselton offices; call 678-344-8900.
Reviewed by Dr. Neal Patel, MD, board-certified urologist. This page is general information and not a substitute for medical advice.