Role of Sexual Intercourse in Hematuria and Proteinuria in Males and Females

Hosseini, Seyed Reza; Mohseni, Mohammad; Atharikia, Davood

doi:10.1159/000151402

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…For false positivity, this difference may be because of possible vaginal pathologies in women (menstrual irregularities, etc) contaminating the urine with blood. In addition, trauma to the urethral and bladder structures adjacent to the vagina during sexual intercourse may also play a role in microscopic haematuria in female patients 24,25 . In this regard, Hosseini et al investigated the role of sexual intercourse in haematuria and proteinuria and found significantly higher rates of microscopic haematuria in women after sexual intercourse compared with men (73.3% vs 22.2%) 24 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, trauma to the urethral and bladder structures adjacent to the vagina during sexual intercourse may also play a role in microscopic haematuria in female patients 24,25 . In this regard, Hosseini et al investigated the role of sexual intercourse in haematuria and proteinuria and found significantly higher rates of microscopic haematuria in women after sexual intercourse compared with men (73.3% vs 22.2%) 24 . In another study, Harris et al reported that approximately 1/4 of women developed microscopic haematuria because of direct sexual intercourse and emphasised the need for taking into account the recent history of sexual intercourse when evaluating clinically significant microscopic haematuria in women 25 …”

Section: Discussionmentioning

confidence: 99%

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The use of computed tomography as the first imaging modality in patients with renal colic and microscopic haematuria

Şen¹,

Ongün

Şahin³

et al. 2020

Int J Clin Pract

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Objective We aimed to evaluate the use of computed tomography (CT) as the first imaging modality in patients with renal colic and microscopic haematuria. Methodology The patients that presented to the emergency service of six health centers with renal colic between January 2017 and January 2018 and were found to have microscopic hematuria on urinalysis were retrospectively evaluated. Only patients for whom non‐contrast CT was used as the first imaging modality were included in the study. Patients were divided into two groups according to the stone presence (stone +, stone ‐) and the groups were compared in terms of demographics and clinical characteristics of patients. Results A total of 834 patients were included in the study and 711 (85.3%) were diagnosed with urolithiasis. CT also revealed additional pathology in 26 (3.1%) patients. The male patients had a significantly higher rate of stones than female patients (89.5% vs 75.2%; P < .001) and the BMI values were also significantly higher in the male patients compared with the females (27.0 ± 2.1 vs 25.0 ± 4.0, P < .001). Right renal colic was more common in female patients and the rate of left renal colic was significantly higher in male patients. The male patients diagnosed with stone disease required treatment at a higher rate than the female patients (P = .005). Conclusions Because of its high sensitivity and specificity values in the diagnosis of stone disease, easy applicability and fast results, CT can be safely used as the first imaging modality for the diagnosis of renal colic and microscopic haematuria.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The use of computed tomography as the first imaging modality in patients with renal colic and microscopic haematuria

Şen¹,

Ongün

Şahin³

et al. 2020

Int J Clin Pract

View full text Add to dashboard Cite

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“…Microscopic hematuria is generally not associated with significant disease and can be detected as an incidental finding in 0.2–21% of asymptomatic individuals [1]. In females, a probable association between sexual intercourse and microscopic hematuria has been recently proposed [2]. On the contrary, an isolated gross postcoital hematuria is a very rare clinical phenomenon.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Postcoital Hematuria. A Case of Fibroepithelial Urethral Polyp in an Adult Female

Battaglia

Ramacieri

et al. 2011

The Journal of Sexual Medicine

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Introduction In males, an isolated gross postcoital hematuria is a very rare clinical phenomenon. No cases of postcoital macroscopic hematuria have been previously reported in females. Aim To report a case of female urethral fibroepithelial polyp (FEP) associated with recurrent postcoital hematuria. Methods A young (31 years old), eumenorrheic woman complained of three episodes of postcoital macrohematuria. The patient was assessed with a detailed history, with a bimanual pelvic examination and with bidimensional and tridimensional ultrasonographic and color Doppler analyses of the internal genitalia and of the urethrovaginal space. Main Outcomes Measures Transvaginal two-dimensional (2-D) ultrasonographic evaluation of internal genitalia, bladder and urethra and three-dimensional (3-D) analysis of the urethra and paraurethral structures. Results The 2-D transvaginal evaluation and the 3-D reconstruction showed a polypoid hypervascularized structure arising from the anterior urethral wall. A cystourethroscopy confirmed the presence of a FEP arising from the anterior wall of the urethra and allowed its removal. Conclusions A gross postcoital hematuria may be associated with a urethral polyp. The ultrasonographic evaluation of the urethrovaginal space can facilitate the diagnosis.

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