Should I Seek Further Evaluation for Persistent Hematuria After Surgery? - Urology

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Persistent hematuria, or blood in the urine, following surgery can be a concerning symptom that warrants further evaluation. Given your history of undergoing endoscopic surgery for urethral stricture, it is important to consider several factors before deciding on the next steps.

First, it is essential to understand that hematuria can arise from various causes, including residual effects from the surgery, new complications, or unrelated conditions. Since you have already experienced hematuria post-surgery, it is crucial to differentiate whether this is a continuation of the surgical effects or if there is a new underlying issue.

In your case, since the hematuria has persisted for six months and you are still showing a positive result for blood in your urine (2+), it is advisable to seek further evaluation at a larger medical facility or a urology specialist. Here are several reasons why this is recommended:
1. Assessment of Surgical Outcomes: A urologist can perform a thorough evaluation to determine if there are any complications from the previous surgery, such as scarring, strictures, or other issues that may be causing ongoing bleeding.

2. Diagnostic Imaging: Further imaging studies, such as a renal ultrasound, CT scan, or cystoscopy, may be necessary to visualize the urinary tract and identify any abnormalities that could be contributing to the hematuria.

3. Rule Out Other Conditions: Persistent hematuria can also be a sign of other conditions, including urinary tract infections, kidney stones, or even more serious issues like tumors in the urinary tract. A comprehensive evaluation can help rule out these possibilities.

4. Monitoring and Management: If the hematuria is related to the previous surgery, a specialist can provide appropriate management strategies to address the issue. If it is due to a new condition, timely intervention can prevent further complications.

5. Patient Safety: Given that you have a history of urinary issues and surgery, it is always better to err on the side of caution. Persistent symptoms should not be ignored, as they can lead to more significant health concerns if left unaddressed.

In conclusion, while follow-up care is important, the persistence of hematuria six months after surgery suggests that further evaluation is warranted. It is advisable to consult with a urologist at a larger medical center who can provide a comprehensive assessment and determine the appropriate course of action. Early intervention can lead to better outcomes and peace of mind regarding your health.