Hematuria surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]

Overview

Surgery for hematuria depends on the underlying etiology.

Surgery

• Surgery is not the first-line treatment option for patients with hematuria. Surgery is usually reserved for patients with either:
  • Urolithiasis, especially in patients with a solitary kidney, bilateral urolithiasis with obstruction, infection, kidney dysfunction, abnormal ureteral anatomy, hemodynamic instability, or stones that are unlikely to pass spontaneously
  • Benign prostate hyperplasia (BPH), if resistant to medical therapy
  • Prostate cancer
  • Ureteroarterial fistulae