A 55 year old smoker presents with history of five episodes of macroscopic hematuria each lasting for about 4-5 days in the past five years. Which of the following investigations should be performed to evaluate the suspected diagnosis?
Urine microscopy and cytology
X-Ray KUB
Ultrasound KUB
DTPA scan
Elderly smoker with episodes of painless hematuria should be investigated to rule out carcinoma. Among the options , initial test is urine microscopy and cytology. Ref: ABC of urology By Chris Dawson, Hugh N. Whitfield, Page 29.