Understanding Blood in Urine
What Is Haematuria?
Haematuria is the medical term for blood in the urine. It presents in two forms:
Visible (gross) haematuria: Urine appears pink, red, or brown. You may notice it when urinating, and it may contain clots. This is often what prompts patients to seek help urgently.
Non-visible (microscopic) haematuria: Blood cells are only detectable through a urine test, often discovered during routine health checks or workplace screenings. This form is equally important to investigate.
Both forms warrant specialist assessment. Even a single episode of visible blood in the urine should be evaluated.
Symptoms to Watch For
While blood in the urine is the primary concern, you may also experience:
- Painful or burning urination
- Increased frequency or urgency to urinate
- Lower back or abdominal pain
- Fever and chills, which may suggest infection
- Difficulty urinating or a noticeably weak stream
These associated symptoms help your consultant determine the likely cause and guide which diagnostic tests are most appropriate.
Common causes we diagnose:
- Urinary tract infections (easily treated with antibiotics)
- Benign prostatic enlargement (BPH—very common over 50)
- Prostatitis (prostate inflammation)
- Kidney stones
- Minor injury or trauma
- Strenuous exercise (runner’s haematuria)
Less common but important to rule out:
- Bladder conditions requiring monitoring
- Kidney conditions
- Prostate conditions requiring investigation
The key is specialist assessment. Seeing an expert urologist means you get accurate diagnosis quickly—ruling out serious causes and starting appropriate treatment without delay.
Common Causes by Age Group
Men aged 30 to 50: Urinary tract infections, kidney stones, prostatitis, and exercise-related haematuria are the most common causes in this age group.
Men aged 50 and over: Benign prostatic hyperplasia (BPH), prostatitis, and bladder conditions become more prevalent. Assessment is particularly important in this age group to ensure thorough investigation.
Seek urgent assessment if you experience:
- Blood in urine with pain
- Blood clots in urine
- Blood in urine with fever
- Persistent or recurring blood
- Blood in urine with difficulty urinating
- Unexplained weight loss with blood in urine
Why Speed Matters
When you notice blood in your urine, waiting weeks for answers adds unnecessary stress. Our practice offers specialist appointments within 24 to 48 hours. Call before 2pm for next-day availability. Most patients receive initial test results within days of their first consultation.
For professionals with busy schedules, this means minimal disruption. For anyone worried, it means peace of mind in days, not months.
What To Expect At Your Consultation
Comprehensive Assessment (30-45 minutes)
Step 1: Detailed History Review
- When you first noticed blood
- Frequency and severity
- Associated symptoms (pain, urgency, fever)
- Medical history and medications
- Family history of urological conditions
Step 2: Physical Examination
- Abdominal examination
- Digital rectal examination (if appropriate)
- Assessment of any tenderness or abnormalities
Step 3: Clear Explanation & Plan
- Findings discussed in detail
- Diagnosis explained clearly
- Treatment options presented
- Written summary provided
- Follow-up arranged as needed
Diagnostic Overview
| Test | Purpose | Turnaround |
|---|---|---|
| PSA Blood Test | Prostate health indicator | Same day to 48 hours |
| Urinalysis | Infection, blood, abnormalities | Same day |
| Urine Culture | Specific bacteria identification | 24-48 hours |
| Urine Cytology | Cell analysis | 3-5 days |
| Kidney/Bladder Ultrasound | Structural assessment | Same day |
| CT Urogram | Detailed imaging | 24-48 hours |
| Flexible Cystoscopy | Direct bladder visualisation | Same appointment |
If Further Investigation Is Needed
For some patients, additional tests may be recommended:
Flexible Cystoscopy:
- Thin camera examines bladder lining
- Performed under local anaesthetic
- Takes 5-10 minutes
- Immediate visual assessment
CT Urogram:
- Detailed imaging of kidneys, ureters, bladder
- Identifies stones, tumours, structural issues
- Non-invasive scan
MRI Scan:
- Detailed prostate imaging if indicated
- No radiation
- Arranged at specialist facilities
Treatment Options
Based on Diagnosis
Urinary Tract Infection:
- Antibiotics (typically 3-7 days)
- Symptoms resolve within 48-72 hours
- Follow-up urinalysis to confirm clearance
Prostatitis:
- Antibiotics (2-4 weeks for bacterial)
- Anti-inflammatory medications
- Alpha-blockers if urinary symptoms present
- Follow-up assessment
Kidney Stones:
- Pain management
- Increased fluids
- Lithotripsy (stone-breaking treatment) if needed
- Surgical removal for large stones
Benign Prostatic Hyperplasia (BPH):
- Medication (alpha-blockers, 5-alpha reductase inhibitors)
- Minimally invasive procedures if needed
- Regular monitoring
If Serious Condition Diagnosed:
- Clear staging and explanation
- Treatment options discussed comprehensively
- Access to advanced treatments including robotic surgery
- Comprehensive care pathway
- Second opinion facilitation if requested
Your Urologist: Mr Ashwin Sridhar
Consultant Urological Surgeon | FRCS (Urol)
Mr Ashwin Sridhar provides expert assessment for blood in urine and semen at three London locations, bringing over 20 years of specialist experience.
Qualifications & Experience:
- Consultant Urological Surgeon
- Fellow of the Royal College of Surgeons (FRCS Urol)
- NHS Consultant background—evidence-based care
- 20+ years specialist urology experience
- Expert in haematuria assessment and diagnosis
- Special interests: prostate conditions, urological oncology
Approach: Mr Sridhar combines clinical thoroughness with clear communication. You’ll receive a complete explanation of your symptoms, understand what tests are needed, and have results explained in plain English.
Why City Professionals Choose Our Liverpool Street Practice:
“I was terrified when I saw blood in my urine. Mr Sridhar saw me the next day, explained everything calmly, and had all my tests done the same morning. The results came back within 48 hours—a simple infection. The speed and expertise made a frightening situation completely manageable.”
— David M., 54, London
Patient Testimonials
Real Experiences
James, 48, Investment Director
“Blood in my urine at 48 was terrifying—my mind immediately went to the worst. Mr Sridhar saw me within 24 hours, performed all the tests efficiently, and had results back in 48 hours. It was a UTI. The relief was immense, but more importantly, the speed meant I wasn’t sitting at home imagining the worst for weeks on end.”
Robert, 56, Company Director
“I’d been noticing occasional blood for a few weeks but was too busy—and honestly too scared—to deal with it. When I finally saw Mr Sridhar, he was reassuring but thorough. Diagnosed BPH with minor prostate inflammation. Started treatment immediately, symptoms cleared within a month. I wish I hadn’t waited so long, but his professionalism made the whole experience much less daunting.”
Anthony, 51, Software Executive
“Blood in my semen was embarrassing to discuss, but Mr Sridhar made me feel completely at ease. He explained that it’s common and usually nothing serious—which turned out to be exactly the case. Prostatitis, treated with antibiotics, resolved completely. The consultation was professional, efficient, and judgment-free.”
Fees & Insurance
Consultation Fees
Initial Consultation (30-45 min)
£360
Follow-up Consultation
£275
PSA Blood Test
£80-120
Urinalysis
£60-100
Ultrasound
£200-350
Insurance Accepted
We accept all major private health insurers:
✓ BUPA
✓ AXA PPP
✓ Aviva
✓ Cigna
✓ Vitality
✓ WPA
✓ Healix
✓ Allianz
Direct billing available – we can invoice your insurer directly.
Frequently Asked Questions
Should I be worried about blood in my urine?
It’s right to take it seriously, but most cases have benign causes. The important thing is to get assessed promptly so you know what you’re dealing with. In the vast majority of cases, the cause is easily treatable.
How quickly can I get an appointment?
Usually same-day or next-day. Call before 2pm and we can typically arrange an appointment within 24-48 hours at one of our three London locations.
What if blood in my urine is cancer?
If assessment reveals a concerning finding, Mr Sridhar is a specialist urological oncologist with extensive experience. You’ll receive:
- Immediate referral for additional imaging
- Biopsy arranged rapidly
- Clear staging and diagnosis explanation
- Treatment options discussed comprehensively
- Access to advanced treatments
Early detection significantly improves outcomes—which is why prompt assessment is so important.
What tests will I need?
Typically:
- PSA blood test
- Comprehensive urinalysis
- Physical examination
- Ultrasound (if indicated)
Additional tests like cystoscopy or CT imaging may be recommended based on initial findings.
How much does assessment cost?
Initial consultation is £200. With diagnostic tests, total assessment typically costs £500-700. Most private health insurance covers these consultations and tests.
Related Conditions
You may also be interested in:
- Frequent Urination / BPH Treatment – Weak stream, getting up at night, urgency
- Vasectomy – No-scalpel permanent contraception
- Prostate Cancer Screening – PSA testing and risk assessment
Book Your Assessment
Three Ways To Schedule
1
Book Appointment
Book online now
Immediately available
3
Email:
info@ashwinsridharurology.com
Include:
- Your symptoms (when started, frequency)
- Available times
- Insurance details (if applicable)
Response within same day on working hours
Choose Your Location
Mr Ashwin Sridhar offers blood in urine assessment at three London practices:
Liverpool Street
Best for: City professionals, Bishopsgate, Shoreditch, Moorgate
Access: 2 minutes from Liverpool Street Station
Hours: Lunchtime and flexible appointments
Harley Street
Best for: West London, evening/weekend appointments, comprehensive care
Address: 146 Harley Street, London W1G 7AQ
Hours: Evenings until 7pm, Saturdays 10am-2pm