About this trial

This prospective multicenter observational study evaluates whether women ≥50 years with isolated acute hemorrhagic cystitis (AHC) and macroscopic hematuria require full malignancy workup. All participants undergo standard diagnostics (cystoscopy, CT urography, cytology), with 12-month follow-up for cancer detection. The aim is to identify low-risk patients where invasive investigations may be safely avoided.

Eligibility criteria

Qualifiers

Women ≥50 years of age.

Macroscopic hematuria.

Presenting for evaluation within the SCP for macroscopic hematuria.

Ability to provide informed consent.

Disqualifiers

Prior diagnosis of bladder cancer, renal cancer, or upper tract urothelial carcinoma (UTUC).

Cognitive impairment preventing informed consent.

Ongoing or recent treatment for urological malignancy.

Serious comorbidities affecting participation or safety.

Trial design

Treatments tested in this trial

  • investigation setting (cystoscopy + CTU + cytology)
  • Cystoscopy - CTU - cytology (if needed)

Treatment groups

300 Participants
are divided into 2 treatment groups

Locations

1
Uddevalla Hospital45 198, Uddevalla Sweden

Sponsors and collaborators

Vastra Gotaland Region

Lead sponsor