DOI: 10.36347/sjmcr.2022.v10i09.011

Pages: 903-906

Introduction: Hematuria is the presence of erythrocytes in abnormal amounts in the urine during urination, it is macroscopic if the number of erythrocytes is greater than 500 000 red blood cells / min. considered as a banal sign, particularly the endemic countries of Bilharzia, it remains a frequent reason for consultation and a concern in urology. A total of 71 patients met our inclusion criteria; the mean age was 54.28 ± 18 with extremes ranging from 11 years to 85 years. The sex ratio is 2.22 in favors of men, 70% of our patients had consulted for total hematuria and 49.3% in outpatient. The duration of evolution of hematuria was greater than three months in 42% of cases, cystoscopy was performed in 38% of patients and the selected diagnoses were dominated by bladder tumors (67.9%). prostate adenoma (14%), adenocarcinoma of the prostate (7.2%). Saline bladder irrigation was performed in 63.4% of patients for 1 to 3 days in 53%. The discharge of our patients was done after diagnosis and specific treatment in 38.4% of cases and in 25% of cases after the management of hematuria. Conclusion: Macroscopic hematuria affects twice as many men as women, bladder tumors and prostatic disease alone are responsible for almost all etiologies. Bladder irrigation and specific treatment play an important role in its management.