Clinical Significance of Hematuria with Illustrative Case Reports

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HEMATURIA, or the presence of blood in the urine, is one of the more frequent symptoms of disease of the urinary tract.

It would seem obvious that this-phenomenon would impress the physician and the patient with the necessity for an immediate, complete examination to ascertain the cause of the bleeding.

However, in most instances unfortunately the hematuria is intermittent in character, and when the bleeding subsides a false sense of security is established. The patient assumes he is well, that the bleeding was not of serious importance because of its spontaneous disappearance, and as his general health does not seem impaired, he appears justified in such presumptions. However, to the physician, the cessation of bleeding is not an indication that its significance can be disregarded or minimized or its importance lessened, and a delay in complete urologic investigation should not be permitted. Unfortunately in many instances the physician and the patient minimize the gravity of this symptom, and a surgical cure is no longer possible when the diagnosis is finally established.

The presence of blood in the urine, if only on one occasion, means the presence of organic disease in the genito-urinary tract. If this conviction is sustained by the physician, it will permit the establishment of an early diagnosis while the lesion is amenable to surgical treatment; to procrastinate, thereby deferring urologic survey, may result in the development of far advanced lesions beyond the hope of medical or surgical cure.

How frequently is this viewpoint disregarded? Kretschmer1 in a. . .



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