Question

A 60-year-old man presents with painless visible haematuria. He has a 30-pack-year smoking history. Urinalysis confirms blood, with no infection. What is the most appropriate next step?

Accepted Answer

Arrange urgent urological referral via the 2-week-wait pathway for cystoscopy and imaging

Answer

Start empirical antibiotics and review in 4 weeks

Answer

Reassure and repeat urinalysis in 6 months

Answer

Start Aspirin and observe

Answer

Order a PSA test only

Practice question

A 60-year-old man presents with painless visible haematuria. He has a 30-pack-year smoking history. Urinalysis confirms blood, with no infection. What is the most appropriate next step?