Question

A 65-year-old man presents with painless visible haematuria on two occasions. He has a 40-pack-year smoking history but is otherwise well. Urinalysis confirms blood only. What is the most appropriate next step?

Accepted Answer

Urgent two-week-wait referral to urology for suspected bladder cancer

Answer

Reassure and repeat urinalysis in 6 months

Answer

Treat as urinary tract infection empirically

Answer

Start alpha-blocker therapy

Answer

Organise routine renal ultrasound only

Practice question

A 65-year-old man presents with painless visible haematuria on two occasions. He has a 40-pack-year smoking history but is otherwise well. Urinalysis confirms blood only. What is the most appropriate next step?