Referral to a specialist

Your GP should refer you urgently to a specialistif any of the following apply: you have visible blood in your urine and no pain, and tests show there is no infection you are 40 or over and keep getting UTIs and blood in your urine you are 50 or over and a urine test picks up unexplainednon-visible blood in your urine you have alump in your tummy (a possible tumour) that was picked up during physical examination by your doctor orduring a scan non-visible haematuria is picked upduring a test, particularly if there is also protein found in the urine Youwill be referred to a hospital urology or nephrology department, or a specialist haematuria clinic, for further tests to identify the cause of your symptoms. These tests may include more blood and urine tests, an ultrasound scan , an X-ray and a cystoscopy . This is a procedure used to examine the inside of the bladder, using an instrument called a cystoscope.