Question

A 45-year-old man has microscopic hematuria on two urinalyses: 5 RBCs/hpf, no proteinuria, no smoking history, no irritative voiding symptoms. According to updated guidance, which is the best next step?

Accepted Answer

Repeat urinalysis within 6 months with risk-stratified follow-up

Answer

Immediate cystoscopy and CT urogram for all patients

Answer

Empirical antibiotics and no further evaluation

Answer

Urine cytology alone

Answer

No evaluation unless RBCs/hpf exceed 20

Practice question

A 45-year-old man has microscopic hematuria on two urinalyses: 5 RBCs/hpf, no proteinuria, no smoking history, no irritative voiding symptoms. According to updated guidance, which is the best next step?