Persistent Urinary Blood in Health Check: Should You See a Urologist? - Urology

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It’s great to hear that you are proactive about your health by regularly undergoing health check-ups. The presence of persistent urinary blood, or hematuria, can indeed be concerning, especially when it appears consistently in your test results. Given your history of G6PD deficiency (蠶豆症) and the fact that you have had normal imaging studies (CT and ultrasound) of your kidneys, it’s understandable to feel anxious about the implications of these findings.

Firstly, it’s important to clarify that hematuria can arise from various causes, some benign and others more serious. Since you mentioned that your urinary blood levels have fluctuated (2+ to 1+), this could indicate that the issue may not be constant or severe. However, the persistence of any level of hematuria warrants further investigation, especially if it has been a recurring finding over multiple years.

In your case, since you have already undergone imaging studies that did not reveal any abnormalities, the next step would typically involve a more detailed evaluation of your urinary tract. This could include:
1. Urinary Cytology: This test examines the cells in your urine for any abnormal or cancerous cells. It can be particularly useful in identifying bladder cancer, which can sometimes present with hematuria.

2. Cystoscopy: This is a procedure where a thin tube with a camera (cystoscope) is inserted into the bladder through the urethra. It allows direct visualization of the bladder and urethra, enabling the physician to identify any abnormalities such as tumors, stones, or inflammation.

3. Urine Culture: This test can help identify any underlying urinary tract infections (UTIs) that may not have been evident during previous tests. Even if you do not have symptoms, a UTI can sometimes cause hematuria.

4. Repeat Urinalysis: Given that your urinary blood levels have varied, repeating the urinalysis can help determine if the hematuria is persistent or if it was an isolated incident.

5. Blood Tests: Additional blood tests may be warranted to assess kidney function and check for any underlying conditions that could contribute to hematuria.

Regarding your concern about whether you should see a urologist, it is advisable to consult one, especially since you have a history of persistent hematuria. A urologist can provide a more specialized evaluation and recommend appropriate tests based on your specific situation. They can also help determine if your G6PD deficiency might be contributing to your urinary symptoms, although this is less common.

In summary, while your imaging studies have been normal and you do not have any symptoms, the persistent presence of urinary blood is a signal that should not be ignored. Consulting a urologist for further evaluation is a prudent step to ensure that any potential issues are identified and addressed early. Regular follow-ups and monitoring will also help alleviate your concerns and keep your health in check. Remember, early detection and intervention are key in managing any health issues effectively.