Use the Back to Presentation Link or your browser's BACK button to return to the presentation. I. Hematuria Definitions Gross hematuria is defined as hematuria which is visible to the naked eye.
Gross hematuria is usually due to a source in the bladder, ureters, or kidney.
Initial hematuria refers to blood noted at the beginning of urination, terminal hematuria refers to blood noted at the end of urination, and total hematuria refers to uniformly bloody urine. Initial hematuria indicates the source of bleeding as distal to the external sphincter, terminal hematuria may be due to bleeding from the trigone, bladder neck or prostatic urethra. The work -up of hematuria involves elements of the history and physical pertinent to the presenting problem. The PMH should include history of prior stones, comorbid conditions, prior surgeries, medications, and social history including smoking history. Family history of cancer, including prostate, kidney cancer.