# Investigating hematuria among young Indian adults using MDCT urography

## TL;DR

This study uses MDCT to investigate causes of hematuria in young Indian adults, finding that urinary stones are the most common cause.

## Contribution

The study provides insights into the diagnostic accuracy of MDCT for hematuria in young adults, emphasizing its clinical utility.

## Key findings

- Renal or ureteric calculi were the most common cause of hematuria in 66 of 80 cases.
- MDCT accurately diagnosed renal and vesical masses in all cases.
- The study highlights the importance of targeted diagnosis for hematuria in young men.

## Abstract

Hematuria may suggest bladder cancer, renal cell carcinoma, UUT-UCC, or urinary tract stones. Therefore, it is of interest to use
Multi-Detector Computed Tomography (MDCT) to determine the cause of hematuria in children and connect MDCT results with cystoscopic and
histological findings. The study included 110 young people under 40 with microscopic or macroscopic hematuria. A clinical exam and
complete history were recorded. MDCT data from non-contrast and contrast-enhanced scans were properly documented. Histopathological and
cystoscopic findings were noted alongside MDCT data when appropriate. The study's typical patient was 26 years old, 66% male. Eighty of
the cases had hematuria as the cause. In 66 of 80 individuals, renal or ureteric calculi were the most common clinically relevant
outcomes. There were four renal and four UB masses. Two cases of renal papillary necrosis and four of pyelonephritis/renal abscess were
identified. MDCT diagnosed renal and vesical masses 100% accurately. MDCT can diagnose and treat hematuria, especially in young men,
according to one study. The findings emphasize clinical awareness and targeted diagnosis. Further research is needed to determine
hematuria causes and prevention across demographics.