Hi there. You have had the standard workup and nothing was found relating to your bladder. I know a couple men who have the idiopathic blood in urine. Sometimes no answer can be found. Your doc is just being prudent in rechecking in 6 months. My gut tells me your bladder is ok
All your tests so far do not seem to indicate any malignancy. Just out of interest, do you do any sports? I seem to remember reading somewhere ( probably on this fórum)that physical exertion can cause traces of blood to be present in urine.If you are worried you could always get a second opinión with another urologist.At least your doctor wants to do follow up in 6 months, so he is obviously not too concerned that there is anything sinister going on, but will keep an eye on things.
"Negative for malignant cells. Scant cellularity. Cellular degeneration is evident. A few transitional and squamous cells present". You could ask another pathologist or your URO for further explanation but, it certainly appears you may be free of BC. As mentioned in a prior post I know a few people that have microscopic hematuria with no known explanation. Yup, I know, it would drive me nuts too but some things just don't have explanations.
Perhaps someone else will have another opinion?
DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
Thank you everyone for the response. I had to push back my cystoscopy exam by a few months as I was traveling for business. I finally had the test done yesterday and the doctor didn't find anything wrong with my bladder. What a relief it was. Despite this, microscopic blood in my urine is persistent. It varies anywhere between 2 to 20 RBC. My doctor asked me to come back for follow up in 6 months time. I am not sure if there is anything left on the table in terms of tests to identify the source of this. Should i still be concerned about blood in urine?
Welcome to the forum. Sounds like you are doing everything you should with the cytology (which I don't understand, but "Negative for malignant cells" sounds good.), ultrasound and CT scan, and scheduled cystoscope. Please let us know how that goes. The waiting is definitely a hard part.
You are doing the right thing by seeing a urologist and having cystoscopy. The cytology tests are very helpful in monitoring bladder cancer, but only when accompanied by other more direct tests. They do have a reputation for false positives and false negatives.
We will hope that your cystoscopy comes back negative also....It is really the only way to definitively diagnose or eliminate problems.
And, like Alsn, I have not heard of your other symptoms being related to bladder cancer.
Good luck and let us know the results!!
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society