Visible blood
Blood that can be seen in the urine should be investigated promptly, even if it happens only once.
Short-notice appointments may be available
For urgent or last-minute appointment enquiries, please call the relevant secretary team so availability can be checked quickly. Timing is subject to hospital and clinical availability.
Private consultant urology care
Blood in Urine Assessment in Birmingham
Blood in the urine, also called haematuria, should be assessed carefully. Mr Syed Ali Shahzad provides private consultant-led assessment for visible and non-visible blood in the urine across Birmingham, Worcestershire and the West Midlands.
Non-visible blood
Microscopic blood found on urine testing may still need specialist review depending on age, symptoms and risk factors.
Bladder pathway
Assessment may include urine tests, imaging and cystoscopy where clinically appropriate.
Private haematuria assessment
Blood in the urine can have several causes, including infection, stones, prostate problems, kidney conditions or bladder abnormalities. It does not always mean cancer, but it is important that the cause is assessed properly.
What the pathway may involve
- Review of symptoms, medical history and previous urine results
- Urine testing and infection assessment where appropriate
- Imaging of the urinary tract when clinically indicated
- Cystoscopy to inspect the bladder where needed
- Clear explanation of findings and next steps
When to seek urgent help
Seek urgent medical help through NHS 111, your GP, A&E or emergency services if you have heavy bleeding, clots, severe pain, fever, feel very unwell or cannot pass urine.
Symptom guidance
Useful guides for blood in urine and bladder symptom searches.
About the author: This page is written and clinically reviewed by Mr Syed Ali Shahzad, a private urology consultant in Birmingham. Get in touch with the clinic to arrange an assessment.
Patient decision guide
Private blood-in-urine assessment: practical details
Even one episode of visible blood in urine should not be ignored. The purpose of assessment is to identify or exclude significant urinary-tract disease.
Who should book
Patients with visible blood, persistent non-visible blood or recurrent bleeding should seek appropriate clinical assessment, particularly with smoking or cancer risk factors.
Likely investigations
Urine and blood tests, urinary-tract imaging and flexible cystoscopy may form part of the pathway according to age and risk.
Possible findings
Causes include infection, stones, prostate bleeding, inflammation, kidney disease and urinary-tract tumours. Sometimes no serious cause is found.
After the tests
Mr Shahzad will explain whether reassurance, treatment, surveillance or further specialist investigation is appropriate.
Heavy bleeding, clots, inability to pass urine, fever or severe pain requires urgent medical help rather than a routine appointment.
Your care pathway
Blood in urine assessment pathway
Visible or persistent non-visible blood in urine needs appropriate assessment because causes range from infection and stones to urinary-tract cancer.
Prompt assessment
Review whether bleeding is visible, associated symptoms, smoking history, medicines and infection or stone risk.
Urine and blood tests
Urinalysis, culture, kidney-function testing and urine cytology may be used in selected pathways.
Image the urinary tract
Ultrasound or CT may be arranged according to age, risk and suspected cause.
Inspect the bladder
Flexible cystoscopy can examine the urethra and bladder; treatment then targets the cause found.