Not Another Bloody Urine

What other questions would you like to ask the patient?

In this case the patient denies any recent strenuous exercise or dietary changes, denies smoking, weight loss and has never worked in a factory. He has recently returned from his medical elective in Uganda, where he was living for the last 3 months.

Given this information, what investigations would you request?

You contact the Urology on-call to arrange follow up in the Haematuria Clinic. Whilst you are on the phone, the microbiology lab phone to say they can see Schistosomiasis eggs in your patient’s urine sample.

This is consistent with a diagnosis of Schistosomiasis Haematobium.

Urine microscopy of patients with Schistosomiasis Haematobium may reveal eggs, which is diagnostic. Urine samples collected between 1000 AM and 1400 PM are most likely to contain eggs.

What is the treatment for this diagnosis?