About a year and a half ago my routine
physical uncovered blood in my urine. It
was described as microscopic hematuria.
A second urinalysis confirmed this
finding.
I went to a urologist who ordered
performed a cystoscopy which came back
negative. Urine cytology came back
negative. He ordered up an ivp which
showed a 2mm filling defect in one kidney
in the calyx.
I then had a non-contrast ct scan that
showed nothing in the area of the filling
defect.
To split the difference, the doc performed
a retrograde pyelogram, scoped the kidney,
and did washings. With the scope he
could see nothing in the area of the
filling defect, the pyelogram showed
nothing, and the washings yielded no
abnormal cells.
Six months later, we did another ivp and
the filling defect persisted. Now, about
6 months after that, another ivp shows the
same filling defect.
Since this all began, I have had a number
of urinalyses that have yielded varying
results. Some show a few more rbcs than
they'd like to see. A couple of others
have been totally clear. Yet others had
no rbcs, but only "chemical blood."
don't get me wrong, I trust my doc
completely. In talking with a gp I know,
he said that there may be no connection
between the filling defect and the
hematuria and that the blood could be from
something as simple as a leaky capillary
anywhere in the urinary tract.
I guess my question is, am I too anxious
for closure on this?