Haematuria Clinic · London
Blood in Urine Specialist
London
Expert assessment and investigation of haematuria by a consultant urological surgeon. Same-week appointments available at three London locations.
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QualificationMA Cantab · MB BChir · FRCS Urol
LocationsWimbledon · Cheam · Marylebone
ReferralsGP referral or self-referral accepted
InsuranceAll major insurers · Self-pay welcome
Important: Blood in urine should always be investigated promptly. Although it is often caused by benign conditions, it can be an early sign of bladder or kidney cancer. A specialist assessment allows causes to be identified and excluded quickly. If you have noticed blood in your urine, do not wait — book an appointment or contact us today.
What is haematuria?
Haematuria is the medical term for blood in the urine. It may be visible to the naked eye — where the urine appears pink, red, or brown — or detected only on laboratory testing (microscopic haematuria). Both forms require specialist investigation.
Blood in urine is a common reason for urgent referral to a urologist and affects both men and women of all ages. While many causes are benign, a small but important proportion are due to urological cancers of the bladder, kidney, or upper urinary tract — conditions that are highly treatable when caught early.
Types and symptoms
Haematuria presents in different ways. Accompanying symptoms can provide important diagnostic clues.
Visible (gross) haematuria
Blood visible to the eye — urine appears pink, red, or dark brown. Always requires urgent specialist review.
Microscopic haematuria
Blood detected only on urine dipstick or lab testing. Still requires thorough investigation.
With pain or burning
Suggests a urinary tract infection, kidney stone, or inflammation as a possible cause.
Painless haematuria
Painless blood in urine is a particular concern and warrants prompt cancer exclusion, even if it resolves.
With urinary symptoms
Frequency, urgency, or difficulty passing urine alongside haematuria warrants full lower urinary tract assessment.
Isolated finding on testing
Incidental finding on routine blood or urine tests — still requires formal urological evaluation.
Common causes
There are many possible causes of haematuria. A full specialist assessment is the only way to identify the source reliably. Common causes include:
Bladder cancer · Kidney cancer · Urothelial (upper tract) cancer · Urinary tract infection · Kidney or bladder stones · Benign prostatic enlargement · Glomerulonephritis · Urethral stricture · Vigorous exercise · Anticoagulant medication
How I investigate haematuria
A structured, thorough approach is essential. My haematuria assessment follows current NICE and BAUS guidelines and is tailored to each patient's clinical picture.
1
Detailed consultation
A thorough history, including symptom pattern, duration, risk factors, and relevant medical history. A targeted clinical examination is performed where appropriate.
2
Urine and blood tests
Urine microscopy and culture, urine cytology for cancer cells, renal function, and PSA in men. Results are reviewed and interpreted in the clinical context.
3
Imaging
CT urogram (gold-standard for upper tract assessment), ultrasound of kidneys and bladder, or MRI as indicated.
4
Flexible cystoscopy
Direct inspection of the bladder lining using a fine, flexible camera — the definitive investigation for bladder pathology. Performed under local anaesthetic as an outpatient procedure or general anaesthetic / sedation as day case procedure.
5
Results and treatment plan
All results are discussed with you in full. Where treatment is required, a personalised plan is agreed — from medical management through to minimally invasive or robotic surgery if needed.
Frequently asked questions
I noticed blood in my urine once — should I still see a specialist?
Yes. Even a single episode of visible haematuria should be investigated. The fact that it resolved does not reduce the need for assessment. Early investigation allows reassurance or prompt treatment if a cause is found.
How quickly can I be seen?
Same-week appointments are typically available at one or more of Mr Sri's clinic locations. Booking can be made directly online or by contacting the practice.
Do I need a GP referral?
No — you can self-refer directly. A GP referral letter is helpful if available, but is not required to book a consultation.
Is the investigation painful?
Most investigations, including flexible cystoscopy, are well tolerated with local anaesthetic gel. The procedure takes only a few minutes and most patients return home immediately afterwards. General anaesthetic and sedation is also available for these procedures.
Will my insurance cover haematuria investigation?
Most private health insurers cover haematuria investigation. Mr Sri's practice accepts all major insurers. Self-pay pricing is also available — please contact the practice for details.
What if a serious cause is found?
If a cancer or other significant finding is identified, Mr Sri will discuss your options fully and without delay. He has particular expertise in robotic surgery for kidney and prostate cancers, and works within a multidisciplinary network of oncologists, urologists and radiologists across London's leading hospitals.
Clinic locations
Mr Sri sees patients at the following private hospital locations in and around London.
Spire St Anthony's
801 London Road
Cheam, Surrey
SM3 9DW
Tel: 020 8337 6691
Nuffield Parkside
53 Parkside
Wimbledon
SW19 5NX
Tel: 020 8971 8000
HCA Princess Grace
18 Devonshire Street
Marylebone, London
W1G 7AF
Tel: 020 379 77248
