A 55-year-old man presents with painless, intermittent gross hematuria for the past two months. | Medibuddy
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30th April 2024

A 55-year-old man presents with painless, intermittent gross hematuria for the past two months.

A 55-year-old man presents with painless, intermittent gross hematuria for the past two months. He is a smoker with a 30-pack-year history. His blood pressure is 130/85 mmHg, and physical examination is unremarkable. There is no history of urinary tract infections or kidney stones.

Investigations:

Urinalysis: Blood 3+, no infection

Creatinine: 90 μmol/L (60-120)

Which is the most appropriate next investigation?

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