See urology guidelines at


Patients under 40, with proteinuria and haematuria should have albumin/creatinine ratio measured and initially be referred to a renal physician. INVESTIGATIONS prior to referral to include BP, UE FBC CRP FER,MSU, ACR, RENAL USS

Persistent invisible haematuria in the absence of proteinuria and not meeting the 2ww urology guidelines should be
followed up annually with repeat testing for haematuria, proteinuria or albuminuria, GFR and blood pressure monitoring as long as the haematuria persists.