Investigations
- Urine cytology
- IVP or Ultrasound + plain abdo X-ray
- CXR if tumour on IVP
- MSU
- U&E
Referral
Initially to urologist for cystoscopy. If persistent haematuria with normal investigations and cystoscopy, consider referral to renal physician for renal biopsy (nearly always due to mesangial glomerulonephritis).