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Advances in Urology
Volume 2009 (2009), Article ID 231861, 5 pages
http://dx.doi.org/10.1155/2009/231861
Clinical Study

Bladder Tumor in Women with Microscopic Hematuria: An Iranian Experience and a Review of the Literature

1Dr. Taheri Medical Research Group, Baqiyatallah Research Center for Gastroenterology and Liver diseases, Baqiyatallah Hospital, Mullasadra Ave, Tehran 1435915371, Iran
2Department of Urology, Baqiyatallah University of Medical Sciences, Tehran 1435915371, Iran

Received 22 September 2008; Revised 6 May 2009; Accepted 2 June 2009

Academic Editor: Badrinath Konety

Copyright © 2009 Shahin Abbaszadeh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. In this study we report our experience with microhematuria and its relation with bladder tumors in Iranian women. Materials and Methods. Overall 249 women were evaluated. Microscopic hematuria was defined as three or more red blood cells per high-power field on at least two different occasions. Patients with a history of gross hematuria or coagulation disorders, having organic diseases, urinary stones, urinary tract infections, nephrological diseases, and local lesions such as urethral caruncle were excluded from the study population. Final diagnosis of malignant tumors was done with cystoscopy and biopsy specimen pathological assessment in all cases. Results. Age for the study population was years. 95 (38%) of patients were identified during routine check up and presenting symptoms in other patients were frequency, dysuria, stress urge incontinence, urge incontinence, feeling of incomplete urine emptying, and flunk pain, respectively. Finally, 7 (2.8%) of study subjects were confirmed as having bladder tumors. One of tumor cases was diagnosed 24 months after initial assessments. Patients with bladder tumor were significantly older; more frequently had diverticulum in their bladder wall ( ). Conclusion. Female microscopic hematuria is relevant and deserves evaluations, especially in elderly patients. Patients whose reason for microhematuria would not be diagnosed at the initial evaluations should be followed.