The patient was discharge on iron supplement and Floxin. Floxin 200mg BID for one week. Oral iron supplement. To follow up with her primary care physician and urology. Transitory hematuria is a common problem, but significant drops in Hgb are rare.
Renal hematoma can permanently alter renal function and morphology.
Type I hematomas are treated conservatively. There is debate over the management of type II hematomas. Those showing persistent hematomas and impaired renal function at 4 weeks post procedure, may benefit from renal decompression surgery.