> -----Original Message-----
> From: GP-UK [mailto:[log in to unmask]] On Behalf Of Julian Bradley
>
> It is in the end the patient's decision. The chance of finding a
> bladder tumour with _microscopic_ haematuria, normal US and IVU is
> probably not all that high. The chances of treatment now rather than
> in 6m altering the outcome .... not sure. Still, the patient
> presumably can't get insurance, comprehensive travel insurance etc
> until this is resolved, so I guess most people would go for the test.
>
As always, our clinical practice may be modified by our clinical experience. We
had a patient with Transitional cell carcinoma in his **20s** (although he did
not present with microscopic haematuria), so I would err on the side of
referring for cystoscopy perhaps more than other colleagues.
Laurie Miles
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