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Patient handout

Microscopic Hematuria Surveillance — chronic outpatient post-workup (AUA 2020 low / intermediate / high risk bands + IgA / Alport / sickle / anticoag / pediatric / schistosomiasis overlays)

PRODUCTION

1. Your condition

This handout is for microscopic hematuria surveillance — chronic outpatient post-workup (aua 2020 low / intermediate / high risk bands + iga / alport / sickle / anticoag / pediatric / schistosomiasis overlays). Your care team identified this based on: index aua 2020 microhematuria workup completed (cystoscopy ± ct urography) — entering surveillance phase.

Other reasons your team may use this plan: repeat ua at surveillance visit shows positive micro (3+ rbc/hpf) → reassess risk band; recurrent gross hematuria during surveillance → full re-workup required (aua 2020); iga nephropathy on prior renal biopsy → glomerular surveillance + route renal.iga-nephropathy.v1.

2. Your medications

Take these medications exactly as prescribed. Do not stop or change a dose without talking to your provider.

MedicationStarting doseHowWhenWhat it does
Repeat UA at 6 monthsAUA Microhematuria 2020 — if positive at 6 mo, reclassify to intermediate risk

Plan: AUA 2020 microhematuria surveillance schedule + risk-factor modification

3. When to call your provider

Contact your care team if any of the following happen:

  • Recurrent gross hematuria → full re-workup → route symptom.hematuria.v1 (AUA 2020)
  • New RBC casts + proteinuria + declining eGFR → STAT nephrology → route renal.iga-nephropathy.v1 OR renal.rpgn.core.v1 (KDIGO 2021)
  • New flank mass / weight loss / B symptoms → STAT urology + onc (AUA 2020)
  • Pediatric proteinuria + HTN → STAT nephrology (KDIGO 2021)

4. When to seek emergency care

Call 911 or go to the nearest emergency room right away if you have:

  • Recurrent gross hematuria during surveillance → full re-workup (cysto + cross-sectional upper tract imaging) (AUA 2020)

5. Follow-up

Annual review; reassess risk band q5y or with new risk factors (cigarette restart, occupational exposure change, new family hx); coordinate with primary care (AUA 2020)

6. Sources

Guideline: Microhematuria: AUA/SUFU Guideline (Barocas DA et al, J Urol 2020 PMID 32698717) — risk-stratified (low/intermediate/high) evaluation with cystoscopy + upper-tract imaging; microhematuria defined as ≥3 RBC/HPF on a single specimen. Schistosomiasis (praziquantel) considered in endemic-exposure hematuria.

  1. pubmed.ncbi.nlm.nih.gov/32698717