Question

A 40-year-old man with asymptomatic microscopic hematuria (3-10 RBC/HPF) has no smoking history and normal BP. According to updated guidance, what is the next step?

Accepted Answer

Repeat urinalysis and risk-stratified evaluation; renal/bladder ultrasound for low risk

Answer

CT urogram and cystoscopy for all

Answer

Urine cytology as first-line for all

Answer

Immediate cystoscopy regardless of risk

Answer

No evaluation is ever needed

Practice question

A 40-year-old man with asymptomatic microscopic hematuria (3-10 RBC/HPF) has no smoking history and normal BP. According to updated guidance, what is the next step?