The evaluation of hematuria begins with a medical history and physical examination.

Physical findings in someone with hematuria may include:

• Abdominal tenderness
• Back or flank tenderness
• High blood pressure

Tests are usually necessary to determine the underlying cause of hematuria.

Tests that may be used to evaluate hematuria include:

• Urinalysis
• Urine cultures
• Complete blood count
• Coagulation profile
• Kidney profile
• Abdominal ultrasound
• Cystoscopy
• Intravenous pyelography (IVP)
• Abdominal x-ray

Less common tests that may be used to evaluate hematuria include:

• Bladder tissue biopsy
• CT scan of the pelvis
• Cytology:
• The study of individual cells from within the bladder
• Cystourethrogram