Abstract

Aim: To determine - the common causes of grosshematuria the frequency of urological carcinomas in patients with gross hematuria

Study Design: Cross-sectional/ observational study

Place and Duration:This study was conducted in Urology department Sandeman Civil Hospital Quetta from October 2018 to September 2020(3 years)

Methods: Total 195 patients of both genders presented with gross hematuria were included. Patients ages were ranging from 15 to 70 years Patients detailed demographic including age, sex, body mass index and causes of gross hematuria were recorded after taking written consent. Urine routine examination and urine cytology and microscopy were done to examine hematuria for excluding malignant cells. Patients were followed by ultrasound, X-ray KUB, CTU scan and cystoscopy when required. Causes of gross hematuria and their frequency was recorded. Data was analyzed by SPSS 24.0.

Results: There were 145 (74.36%) males and 50 (25.64%) females patients. Mean age of patients was 50.24±9.55 years. Most common cause of gross hematuria was trauma and found in 50 (25.64%) patients, urinary tract infection was the second most frequent cause found in 46 (23.59%) patients and 38 (19.49%) patients had urolithiasis. 35 (17.95%) patients had urological carcinoma while 160 (80.05%) patients had no urological carcinoma even thougross hematuria they had gross hematuria.

Conclusion: Although urological carcinoma was commonly associated with gross hematuria, but trauma and urinary tract infection were most frequent causes of gross hematuria.

Keywords: Gross Hematuria, Urinary Tract Infection, Trauma, Urological Carcinomas.