15th July 2024

A 65-year-old man presents with episodic painless haematuria ongoing for 2 months

A 65-year-old man presents with episodic painless haematuria ongoing for 2 months. He has also lost weight and complains of night sweats, as well as haematuria, frequency, urgency and dysuria. He also complains of anorexia. His GP has already treated him for a urinary tract infection twice in the last month, however this did not improve symptoms. Renal USS is unremarkable. What is the next most appropriate investigation?

Select the SINGLE most appropriate option from the list below. Select ONE option only.