Hello. I Am A 65 Year Old Female. In 2015,
Kidney bladder ultrasound and urine culture is the next step.
Detailed Answer:
Good day and thank you for being with healthcare magic!
Given that your biopsy from the surgery showed a low stage disease your urologist is correct in saying that he is not worried for recurrence.
Although it would be prudent to do an ultrasound of the kidneys and bladder to be sure to rule out recurrence since you have blood in the urine. I would also get a urine culture to see if there is an infection and treat accordingly.
Infection is still the most common cause of blood in the urine and for microscopic blood in the urine a number of medical diseases can cause this like hypertension and diabetes. Dehydration may also cause blood in the urine.
I hope I have answered your question satisfactorily and please don't hesitate to ask further questions if you have any.
I recommend and ultrasound or a repeat CT scan for your case.
Detailed Answer:
Good day and thank you for being with healthcare magic!
If urine culture came out with a negative result then there is no need to repeat and infection is ruled out.
Bladder is the primary consideration for any person with painless blood in the urine and should not be overlooked.
I would recommend doing the ultrasound or a repeat CT scan with contrast since it has been almost 6 months from your last. This is in light with the new development of you having blood in the urine that was not present before. Recurrence for your disease is unlikely but not imposible and we have to be sure 100 percent.
I hope I have answered your question satisfactory
Urine culture is different from urine analysis.
Detailed Answer:
thank you for your follow up question. urine culture is where they place your urine in aculture media and wait for the bacteria to grow. this generally takes around 3 to 5 days before the result comes out.
if this is not yet done then it is better to get a urine culture to be sure that you don't have any infection. This is the gold standard to determine whether you have a urine infection or not.
Yes for infection.
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which is more common? infection would be a definite yes. female sex and advance age would make you prone to infection.
for bladder tumor yes equal for men and women in the 6th decade of life.