Question

A 64-year-old man with a 40-pack-year smoking history presents with new painless gross haematuria. He has no dysuria or flank pain. What is the most appropriate initial investigation?

Accepted Answer

CT urogram and referral for cystoscopy

Answer

Urinalysis only and treat empirically for urinary tract infection

Answer

Renal ultrasound alone

Answer

Serum PSA level only

Answer

Empiric antibiotics with follow-up if haematuria persists

Practice question

A 64-year-old man with a 40-pack-year smoking history presents with new painless gross haematuria. He has no dysuria or flank pain. What is the most appropriate initial investigation?