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Moderateconsidering ageMicrohematuriaand degree of hematuria to guide cystoscopy and imaging. universal ct/cystoscopy (a) over‑tests. delaying until gross hematuria (c) misses cancers. cytology alone (d) is insufficient. ultrasound only (e) may miss ureter/urothelial lesions in higher risk."

A 70-year-old woman with microhematuria (≥3 RBC/HPF on two properly collected urinalyses) and no infection is assessed. According to the latest guideline, which principle applies?

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