Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Urology · Urinary Tract
Hematuria Treatment in Hyderabad: Blood in Urine Investigated at Lux Hospitals
Blood in the urine is a symptom, not a diagnosis. It always has a cause, and finding that cause is the entire point of the consultation.
Most causes are benign: a stone, an infection, an enlarged prostate. But painless visible blood is the classic first sign of a bladder or kidney tumour, and it is the one symptom in urology that is never dismissed. Our urologists at Lux Hospitals, HITEC CITY investigate it fully, even when it happens once and stops.
- Full Investigation
- Cystoscopy On Site
- Cancer Ruled Out
What is Hematuria?
Hematuria means blood in the urine. It comes in two forms. Gross or visible hematuria is blood you can see: the urine appears pink, red, or the colour of tea or cola. Microscopic hematuria is invisible to the eye and detected only on a urine test, often done for something else entirely.
Both need investigating, but visible hematuria carries considerably more weight. Around one in five people with painless visible blood in the urine turns out to have a urological cancer, most commonly of the bladder. For microscopic hematuria the figure is far lower, but not zero, which is why it too is assessed rather than ignored.
The timing during the stream is genuinely informative. Blood at the very start of urination suggests a urethral source. Blood throughout the stream points to the bladder, ureter or kidney. Blood only at the end suggests the bladder neck or prostate. It is a simple observation that meaningfully narrows the search before any test is done.
Causes of Hematuria
Causes range from entirely benign to serious, and they cannot be told apart without investigation.
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Urinary tract infection
The commonest cause, particularly in women. Blood comes with burning and frequency, and settles once the infection is treated.
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Urinary stones
A stone abrading the lining of the kidney, ureter or bladder. Typically accompanied by severe colicky pain.
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Bladder and kidney cancer
The reason all hematuria is investigated. Bladder cancer classically causes painless visible blood, often intermittently, and smoking is the dominant risk factor.
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Prostate enlargement
An enlarged prostate has fragile surface vessels that bleed, particularly at the end of the stream. A common cause in men over fifty.
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Kidney disease
Glomerulonephritis and IgA nephropathy cause microscopic hematuria alongside protein in the urine, often with tea-coloured urine after an infection.
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Exercise and trauma
Strenuous exercise, particularly running, can cause transient hematuria. Direct injury to the kidney or bladder causes it more obviously.
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Blood thinners
Anticoagulants make bleeding more visible but do not cause it. Hematuria on a blood thinner still needs full investigation: the drug unmasked a cause rather than creating one.
Beetroot, some medications and certain food dyes can turn urine red without any blood present. A urine test distinguishes them in minutes, which is why the test comes before the worry.
Symptoms & Patterns
What accompanies the blood, and when in the stream it appears, points strongly toward the cause.
How it presents
- Pink, red, tea-coloured or cola-coloured urine
- Blood detected only on a urine test, with no visible change
- Blood clots in the urine
- Blood at the start, throughout, or at the end of the stream
- Burning or frequency alongside the blood
- Flank or lower abdominal pain
Features needing urgent care
- Painless visible blood: the pattern most associated with tumour
- Clots causing difficulty or inability to pass urine
- Heavy bleeding with dizziness or breathlessness
- Blood with fever and flank pain
- Blood with unexplained weight loss
- Blood in someone over forty who smokes or has smoked
Painless visible blood is the pattern that concerns urologists most, precisely because it is painless. There is nothing to prompt urgency, so people wait, and it is the presentation most strongly associated with bladder cancer.
How Hematuria is Investigated
The workup covers the whole urinary tract, because blood can originate anywhere along it.
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Urine analysis and culture
Confirms genuine blood rather than dye or pigment, detects infection, and looks for protein and casts suggesting kidney disease.
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Urine cytology
Examines urine for abnormal cells shed from a bladder tumour. Useful when positive, though it does not exclude cancer when negative.
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Blood tests
Creatinine and eGFR for kidney function, haemoglobin to assess blood loss, clotting studies, and PSA in men.
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CT urogram
The standard imaging for visible hematuria. It images kidneys, ureters and bladder in detail and detects stones and tumours ultrasound would miss.
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Cystoscopy
A camera passed into the bladder. The only way to see the bladder lining directly, and essential: imaging alone misses small flat tumours.
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Kidney biopsy
Where microscopic hematuria comes with protein loss and reduced function, pointing to intrinsic kidney disease rather than a urological cause.
CT and cystoscopy are complementary rather than alternatives. CT sees the kidneys and ureters that the scope cannot reach; the scope sees flat bladder lesions that no scan detects. Visible hematuria warrants both.
Treatment Options
Hematuria itself is not treated: the cause is. What follows depends entirely on what the investigation finds.
Medical
Treating benign causes
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Antibiotics for infection
Culture-guided treatment, with a repeat urine test afterwards to confirm the blood has cleared. Persistent blood after treatment needs further investigation.
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Stone management
Hydration, pain relief and medical expulsive therapy for small stones, with endoscopic treatment for larger ones.
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Prostate medication
Alpha blockers and 5-alpha reductase inhibitors, which reduce prostate bleeding as well as obstruction.
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Managing kidney disease
Blood pressure control and specific treatment for glomerulonephritis, in conjunction with kidney specialists.
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Reviewing anticoagulation
Adjusting blood thinners where bleeding is heavy, in discussion with the prescribing doctor: never stopped unilaterally.
Procedural
Endoscopic and surgical treatment
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TURBT
Transurethral resection of a bladder tumour through the urethra, which both removes it and provides tissue for staging. No incision.
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Endoscopic stone treatment
Ureteroscopy with laser, or PCNL for larger stones, removing the source of bleeding definitively.
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Bladder washout
Urgent clearance of clots causing retention, through a wide catheter, with continuous irrigation until bleeding settles.
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Prostate surgery
TURP or laser prostatectomy where an enlarged prostate is the confirmed source of recurrent bleeding.
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Partial or radical nephrectomy
Removal of a kidney tumour, preserving as much kidney as the tumour allows.
Clot retention, where clots block the bladder outlet completely, is a urological emergency. It needs a wide catheter and washout the same day, and is one of the few presentations that cannot wait.
The Hematuria Pathway
Visible hematuria follows a defined pathway, designed so that nothing along the tract is missed.
Structured investigation of the whole urinary tract
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Confirming genuine blood
A urine test distinguishes actual blood from beetroot, dyes and medication. This takes minutes and settles a good number of referrals immediately.
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History and risk assessment
Timing during the stream, associated pain, smoking history, occupational exposure, medications and previous episodes.
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Excluding infection
Urine culture, with infection treated first. If blood persists after successful treatment, the workup continues regardless.
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Blood tests and cytology
Kidney function, haemoglobin, clotting and PSA, alongside urine cytology for abnormal cells.
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CT urogram
Imaging the kidneys, ureters and bladder with contrast, detecting stones, masses and abnormalities of the collecting system.
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Cystoscopy
Direct inspection of the bladder lining, usually under local anaesthesia as a day-care procedure, with biopsy of anything abnormal.
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Treating the cause
Definitive treatment of whatever is found, with follow-up urine testing to confirm the bleeding has resolved.
A negative workup is a genuinely good result, not a wasted one. It means the serious causes have been excluded, and it is worth having on record if bleeding recurs later.
Why Choose Lux Hospitals for Hematuria Investigation?
Blood in the urine needs a complete answer, not a partial one. Here is why patients trust us:
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The full pathway, not part of it
CT urogram and cystoscopy together where visible hematuria is confirmed, because each detects what the other misses.
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Cystoscopy on site
Flexible cystoscopy as a day-care procedure under local anaesthesia, without referral or delay.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
After the Investigation
The investigation itself is straightforward. What follows depends entirely on the diagnosis.
- Week 1
Urine and blood tests, ultrasound, and treatment of any infection found. Many cases are resolved at this point.
- Weeks 1–3
CT urogram and cystoscopy where visible hematuria is confirmed. Cystoscopy is day care with mild burning for a day or two afterwards.
- Weeks 3–4
Results reviewed together. In the majority of cases this is a reassuring conversation with no further action needed.
- If treatment is needed
Stone or tumour treatment planned, generally endoscopic, with a short admission and one to two weeks off work.
- Follow-up
Repeat urine testing to confirm clearance. After a bladder tumour, regular surveillance cystoscopy for several years.
Aftercare
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Drink plenty of water after cystoscopy
Burning and slight blood for a day or two is normal. High fluid intake flushes the tract and shortens it.
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Stop smoking
Smoking is the dominant risk factor for bladder cancer. If your hematuria workup was negative, this is the single most valuable thing to take from it.
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Report any recurrence
Blood returning after a negative workup needs reassessment. Bladder tumours can bleed intermittently and a single clear result does not close the matter permanently.
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Attend surveillance appointments
After a bladder tumour, repeat cystoscopy detects recurrence early when it remains easily treatable. This is essential rather than optional.
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Do not stop blood thinners yourself
Hematuria on anticoagulation still needs investigating, but stopping the drug without advice risks stroke or clot. Discuss it rather than deciding alone.
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Seek urgent care for clots or retention
Clots in the urine, or an inability to pass urine, need same-day treatment with a catheter and bladder washout.
Blood that appears once and stops still needs investigating. Intermittent bleeding is characteristic of bladder tumours, and treating a single episode as resolved is the commonest way a diagnosis is delayed.
When Should You See a Urologist?
Book a consultation if any of the following apply.
- Visible blood in the urine, even once and even if it stopped.
- Blood detected on a routine urine test.
- Clots in the urine, or difficulty passing urine: go to hospital the same day.
- Blood alongside flank pain or fever.
- Blood in the urine if you are over forty and smoke or have smoked.
- Blood that returns after a previous investigation was clear.
Cost of Hematuria Investigation in Hyderabad
The investigation is the main cost. Treatment depends entirely on what is found, and many people need none.
| Procedure | Estimated Cost |
|---|---|
| Consultation Includes examination | ₹800 – ₹1,500 |
| Urine tests and culture Analysis, culture and cytology | ₹800 – ₹2,500 |
| Blood workup Kidney function, haemoglobin, clotting, PSA | ₹1,500 – ₹4,000 |
| Ultrasound KUB First-line imaging | ₹1,500 – ₹3,500 |
| CT urogram Standard for visible hematuria | ₹6,000 – ₹14,000 |
| Flexible cystoscopy Day care, local anaesthesia | ₹12,000 – ₹25,000 |
| TURBT for bladder tumour Two to three days in hospital | ₹1,20,000 – ₹2,40,000 |
What changes the estimate
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Visible or microscopic
Visible hematuria needs the full pathway including CT and cystoscopy. Microscopic hematuria in a low-risk patient may need considerably less.
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What is found
An infection is treated with a course of antibiotics. A stone or tumour needs a procedure, which is the substantial cost.
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Urgency of presentation
Clot retention needs emergency admission, catheterisation and washout, which costs more than an elective outpatient pathway.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Urology Treatments
Our Surgeons
Hematuria Specialists at Lux Hospitals
The urologists who investigate blood in the urine at our HITEC CITY hospital.
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Dr. Vipin Reddy B
Consultant Urologist & Andrologist
MBBS, MS, DrNB (Urology)
10 years experience
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Dr. Sreeniketh Reddy
Consultant Urologist & Andrologist
MBBS, MS, MCh (Urology)
9 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from patients treated for kidney and urological conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Vipin Reddy B on kidney health and urological care.
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Got Questions?
Frequently Asked Questions
Common questions about blood in the urine, how it is investigated and what it costs at Lux Hospitals.
Should I be worried about blood in my urine?
You should have it investigated rather than worry about it. Most causes are benign: infection, stones, an enlarged prostate. But around one in five people with painless visible blood turns out to have a urological cancer, so it is always investigated fully. Finding out is straightforward; leaving it is what causes harm.
Is hematuria painful?
Not necessarily, and that is the concerning part. Blood with pain usually means a stone or infection. Painless visible blood is the pattern most strongly associated with bladder cancer, precisely because nothing prompts urgency and people wait.
Can hematuria be treated with medication?
It depends on the cause. Infection responds to antibiotics, prostate bleeding to alpha blockers and 5-alpha reductase inhibitors, and kidney inflammation to specific medical treatment. Stones and tumours need a procedure. Hematuria itself is never treated: only what is causing it.
Do I need surgery for hematuria?
Most people do not. Surgery is needed only where the investigation finds something requiring it: a bladder tumour needing resection, a stone needing endoscopic removal, or a prostate needing TURP. Where infection or a minor cause is found, medication is sufficient.
How soon should I see a doctor if I notice blood in my urine?
Within a few days for visible blood, and the same day if there are clots, difficulty passing urine, fever, or heavy bleeding with dizziness. Do not wait to see whether it recurs: bladder tumours bleed intermittently, and a single episode that stops is still worth investigating.
Can beetroot or medication cause red urine?
Yes. Beetroot, blackberries, certain food dyes and some medications including rifampicin can turn urine red or orange without any blood present. A urine dipstick and microscopy distinguish this in minutes, which is why the test comes before any alarm.
Why do I need cystoscopy if the CT scan was normal?
Because they detect different things. CT images the kidneys and ureters well but can miss small flat bladder tumours that lie against the lining. Cystoscopy inspects the bladder surface directly. For visible hematuria, both are needed: a normal CT alone does not exclude bladder cancer.
Can lifestyle changes prevent hematuria?
Some causes yes. Drinking enough water reduces both stones and infection substantially. Stopping smoking reduces bladder cancer risk, which is the dominant modifiable factor. Nothing prevents hematuria as such, since it is a symptom rather than a condition in itself.
What does hematuria investigation cost at Lux Hospitals?
The full pathway (consultation, urine and blood tests, ultrasound, CT urogram and flexible cystoscopy) is approximately ₹22,000–₹50,000. A more limited workup for low-risk microscopic hematuria costs considerably less. Treatment cost depends on what is found.
How can I book an appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Bring any previous urine reports and scans, and note whether the blood appeared at the start, throughout or at the end of the stream: that detail genuinely helps.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book a Hematuria Consultation in Hyderabad
Complete investigation of blood in the urine, including CT urogram and cystoscopy, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032