{"id":4268,"date":"2026-06-28T22:11:45","date_gmt":"2026-06-28T20:11:45","guid":{"rendered":"https:\/\/www.dominique-urologie.fr\/test2\/hematuria-blood-in-the-urine"},"modified":"2026-10-02T19:29:19","modified_gmt":"2026-10-02T17:29:19","slug":"hematuria-blood-in-the-urine","status":"publish","type":"besoin_patient","link":"https:\/\/www.dominique-urologie.fr\/en\/besoins-urologie\/hematuria-blood-in-the-urine","title":{"rendered":"Hematuria (blood in the urine)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"<p>A symptom that needs to be investigated without delay Hematuria refers to the presence of blood in the urine, whether visible to the naked eye (macroscopic hematuria) or detectable only\u2026<\/p>\n","protected":false},"featured_media":4359,"menu_order":0,"template":"","class_list":["post-4268","besoin_patient","type-besoin_patient","status-publish","has-post-thumbnail","hentry"],"acf":{"dominique_subtitle":"A symptom that needs to be investigated without delay","dominique_intro":"Hematuria refers to the presence of blood in the urine, whether visible to the naked eye (macroscopic hematuria) or detectable only under a microscope.","dominique_related_expertises":"","dominique_related_besoins":"","dominique_card_excerpt":"Hematuria refers to the presence of blood in the urine, whether visible to the naked eye (macroscopic hematuria) or detectable only under a microscope.","dominique_form_shortcode":"","dominique_primary_label":"Consultation appointment","dominique_primary_url":"https:\/\/www.doctolib.fr\/chirurgien-urologue\/paris\/sebastien-dominique\/booking\/telehealth-suggestion?specialityId=177&bookingFunnelSource=deep_link","dominique_secondary_label":"","dominique_secondary_url":"","dominique_card_image":4359,"dominique_hero_image":3179,"dominique_videos":[{"url":"https:\/\/www.youtube.com\/watch?v=Gr8hLnaml-M","title":"My review in video"}],"dominique_video_eyebrow":"","dominique_video_section_title":"","dominique_video_section_text":"","dominique_faq_title":"FAQ \u2013 Frequently Asked Questions","dominique_faq_items":[{"question":"Is the presence of blood in the urine always serious?","answer":"No, but it should always be investigated. Hematuria can come from an infection, a stone or an enlarged prostate, but it can also reveal a tumor of the bladder or kidney: no episode should be neglected, even isolated and painless."},{"question":"What tests are performed in cases of hematuria?","answer":"The assessment includes a urine test (ECBU, urine cytology), a CT urogram to explore the kidneys and ureters, and a cystoscopy (fibroscopy of the bladder) performed in consultation under local anesthesia."},{"question":"Should you consult a doctor even if the bleeding has stopped?","answer":"Yes, absolutely. Intermittent hematuria is common, including in bladder tumors: the disappearance of the bleeding does not mean the cause has disappeared. A complete evaluation remains essential."},{"question":"Can certain medications or foods color urine?","answer":"Yes: beets, blackberries, and certain medications (rifampicin, vitamin B12, etc.) can turn urine red without actual bleeding. Only a cytobacteriological examination can confirm or rule out the presence of blood."}],"dominique_sidebar_rdv_title":"","dominique_doctor_band_title":"","dominique_doctor_band_text":"","dominique_doctor_band_points":null,"dominique_doctor_band_image":"","dominique_page_cta_title":"","dominique_page_cta_text":"","dominique_closing_highlights":null,"dominique_blocks":[{"acf_fc_layout":"image_text_block","eyebrow":"","title":"Understanding, diagnosing, and treating the cause of urinary bleeding","content":"Hematuria is the presence of blood in the urine, whether visible to the naked eye (macroscopic hematuria) or detectable only under a microscope (microscopic hematuria). It is a <strong>symptom that should never be ignored<\/strong> , as it can indicate a problem with the kidneys, ureters, bladder, or prostate. Dr. <strong>S\u00e9bastien Dominique<\/strong> , a urologist in Paris, conducts a comprehensive evaluation to identify the cause of the bleeding and propose appropriate treatment, favoring precise diagnostic techniques and minimally invasive procedures when necessary.","image":4164},{"acf_fc_layout":"list_block","eyebrow":"","title":"What are the possible causes?","text":"","items":[{"item":"Urinary stones (kidney, ureter, bladder)"},{"item":"Urinary tract infections or prostatitis"},{"item":"Benign prostatic hyperplasia (BPH)"},{"item":"Bladder tumors"},{"item":"Kidney or ureter tumors"},{"item":"Inflammatory or hemorrhagic lesions of the urinary tract"},{"item":"Vascular malformations or anomalies"},{"item":"Kidney or ureter trauma"},{"item":"Side effects of certain treatments (anticoagulants)"},{"item":"Glomerular kidney diseases"}]},{"acf_fc_layout":"image_text_block","eyebrow":"","title":"How does the diagnosis process work?","content":"The treatment is based on a structured assessment to identify the origin of the bleeding.<ul><li> <strong>Urine analysis (ECBU)<\/strong> to rule out infection<\/li><li> <strong>Urine cytology<\/strong> to detect abnormal cells<\/li><li> <strong>CT scan or ultrasound<\/strong> to visualize kidneys, ureters and bladder<\/li><li> <strong>Cystoscopy<\/strong> : an essential examination for directly visualizing the bladder and urethra<\/li><li> <strong>Blood tests<\/strong> depending on the situation (kidney function, coagulation)<\/li><\/ul> Dr. Dominique systematically adapts the assessment according to age, risk factors and the mode of onset of hematuria.","image":4165},{"acf_fc_layout":"text_block","eyebrow":"","title":"Possible treatments","content":"Once the cause is identified, the treatment is targeted:<p style=\"padding-left: 40px;\"> Antibiotics for infection; minimally invasive treatment or surgery for urinary stones; endoscopic removal of a bladder tumor; treatment of BPH if the prostate is involved; simple monitoring if the cause is benign and confirmed.<\/p> The goal is always to <strong>treat the cause<\/strong> , stop the bleeding, and prevent recurrence."},{"acf_fc_layout":"video_section_block","eyebrow":"Experience","title":"Appointment booking","text":"","video_url":"https:\/\/www.youtube.com\/watch?v=Gr8hLnaml-M"},{"acf_fc_layout":"text_block","eyebrow":"","title":"When should you seek emergency medical attention?","content":"<ul><li>Presence of clots in the urine<\/li><li> Severe lower back pain (possible kidney stone)<\/li><li> Inability to urinate (retention with clots)<\/li><li> Fever, severe burning during urination<\/li><li> Persistent or heavy bleeding<\/li><\/ul>"},{"acf_fc_layout":"list_block","eyebrow":"","title":"The expertise of Dr. S\u00e9bastien Dominique","text":"","items":[{"item":"A quick and accurate assessment to identify the source of the bleeding"},{"item":"A personalized treatment based on the identified cause"},{"item":"Reliable and minimally invasive endoscopic techniques"},{"item":"Careful monitoring to prevent recurrences and track progress"}]},{"acf_fc_layout":"text_block","eyebrow":"","title":"Everything you need to know about booking an appointment!","content":"Discover how the practice operates, the organization of consultations, and the procedures for managing patients with hematuria."},{"acf_fc_layout":"text_block","eyebrow":"","title":"Have you noticed blood in your urine?","content":"If you have noticed blood in your urine\u2014even just once\u2014make an appointment with Dr. S\u00e9bastien Dominique <strong>at the Urology Clinic in Paris Op\u00e9ra \u2013 Paris 17th arrondissement.<\/strong> <strong>Consultations are available in person or via teleconsultation.<\/strong> <strong>Book your appointment today.<\/strong>"}]},"_links":{"self":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4268","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient"}],"about":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/types\/besoin_patient"}],"version-history":[{"count":1,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4268\/revisions"}],"predecessor-version":[{"id":4285,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/besoin_patient\/4268\/revisions\/4285"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/media\/4359"}],"wp:attachment":[{"href":"https:\/\/www.dominique-urologie.fr\/en\/wp-json\/wp\/v2\/media?parent=4268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}