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HRG Urology LogoDr. Harshawardhan Godbole

BLADDER • Kings Oak Hospital, London

Haematuria (Blood in the urine) in London — Kings Oak Hospital

North Enfield, Potters Bar, Hadley Wood, and the Hertfordshire border communities are home to a predominantly older population in the peak age range for bladder and kidney cancer. When haematuria develops in this community, the familiar Chase Farm campus — and Kings Oak Hospital operating within it — is the natural local setting for urgent investigation. Mr. Harshawardhan Godbole FRCS, Cancer Lead, provides private haematuria investigation at Kings Oak Hospital — accessible from Potters Bar in 15 minutes and from Hadley Wood in 10 — with cystoscopy available within 3–5 working days. For North Enfield and Hertfordshire patients who have received a GP haematuria referral and cannot face weeks of diagnostic uncertainty, this private pathway provides answers within the week.

Haematuria — blood in the urine — is classified as visible (frank haematuria, seen with the naked eye) or non-visible (microscopic, found on dipstick or laboratory testing). Any episode of visible haematuria in an adult over 40 requires urgent cystoscopy and CT urography to exclude bladder cancer and kidney cancer — regardless of any apparently benign explanation. Non-visible haematuria in symptomatic adults or those with risk factors (smoking, age over 40, occupational exposure) also warrants investigation. Causes include bladder and kidney cancer, kidney stones, UTI, BPH, IgA nephropathy, and anticoagulant use. Investigation establishes the source and cause.

### Haematuria in Older Patients — Specific Considerations at Chase Farm

Older North Enfield patients with haematuria frequently have complicating factors that affect investigation planning: anticoagulant use for cardiac conditions that requires careful management around cystoscopy; renal function impairment that affects CT urography contrast dosing; and bladder capacity reduction that makes flexible cystoscopy technically more challenging. Mr. Godbole's assessment at Kings Oak Hospital addresses each of these specifically — coordinating anticoagulant management with the patient's cardiology team, adjusting contrast CT protocols for impaired renal function, and selecting the appropriate cystoscopy technique for each individual's anatomy.

### Haematuria with Renal Impairment — CT Contrast Considerations

Standard CT urography uses IV contrast (iodinated contrast medium) for optimal urothelial visualisation. Patients with renal impairment (eGFR below 45) require non-contrast CT or modified contrast protocols to avoid contrast nephropathy. In the older North Enfield demographic — where diabetic kidney disease and hypertensive nephropathy are prevalent — renal function must be checked before CT urography contrast is administered. At Kings Oak Hospital, renal function testing is a routine pre-investigation step for all haematuria patients, ensuring that CT investigation is conducted safely regardless of existing kidney function.

### Travel and Parking Guide – Kings Oak Hospital, Chase Farm

Chase Farm North Side, The Ridgeway, Enfield EN2 8SD. By road from Potters Bar: 15–20 minutes via A10. From Hadley Wood: 10 minutes. From Barnet: 15 minutes via A110. Underground: Cockfosters (Piccadilly Line), 20 minutes walk or taxi. Campus parking available.

Why choose Kings Oak Hospital for haematuria (blood in the urine)?

  • North Enfield, Potters Bar, and Hadley Wood patients choose Kings Oak Hospital for haematuria investigation because Chase Farm is 10–20 minutes by road — the closest private Cancer Lead cystoscopy to these communities without a Central London journey.
  • Older patients with anticoagulant use or renal impairment receive specifically managed haematuria investigation at Kings Oak Hospital — with anticoagulation coordination and adjusted CT protocols ensuring safe investigation regardless of comorbidities.
  • The Chase Farm A&E co-location provides an institutional safety net for the North Enfield demographic — where haematuria can occasionally indicate a more urgent clinical situation (renal tumour with active bleeding, clot retention) that benefits from immediate institutional backup.

Haematuria (Blood in the urine) cost at Kings Oak Hospital

Private consultation: £300 at Kings Oak Hospital. We accept Bupa, AXA Health, Vitality and Aviva. Call +44 (0)7884 183968 for a treatment cost estimate. [INTERNAL LINK → /fees/]

Causes of Heamaturia

  • Cancer
  • Urinary stones
  • Urinary tract infections (UTIs)
  • Injuries
  • Kidney injury
  • Medications such as blood thinning agents
  • Certain food as beet root may stain urine red
  • Indwelling catheters

Management of Heamaturia:

Treatment for hematuria should be sought urgently. After detailed history and through physical examination appropriate investigations are to be undertaken which would include relevant blood tests, urine tests, imaging and endoscopy for initial assessment. This symptom should not be disregarded and urgent urological review is to be sought.

Coming in for your haematuria (blood in the urine) appointment

Kings Oak Hospital serves haematuria patients from North Enfield, Chase Farm, Cockfosters, Potters Bar, Hadley Wood, Cuffley, New Barnet, Brookmans Park, Waltham Cross, and Hertfordshire border communities via M25.

Patient reviews — haematuria (blood in the urine) at Kings Oak Hospital

Thomas Williams

Potters Bar

My father is 76 on warfarin for atrial fibrillation. He had visible haematuria. I was worried about his investigation given the anticoagulation. At Kings Oak Hospital, Mr. Godbole's team coordinated with his cardiologist about anticoagulation management. Cystoscopy was performed safely, a bladder tumour was found, and the anticoagulation management around the TURBT was coordinated carefully. The cardiac-aware approach to his haematuria investigation was what made safe surgery possible.

March 2026

Yusuf Okafor

Cockfosters

From Cockfosters, Kings Oak Hospital is easily accessible by taxi from the Underground. My haematuria investigation was arranged within 4 days. Cystoscopy clear. CT urography found a kidney stone and a 2cm renal mass. Both found because the CT covered the entire urinary tract. The mass was confirmed as a renal tumour on staging. Laparoscopic partial nephrectomy performed. The investigation that found the tumour alongside the stone changed my outcome.

February 2026

Ingrid Bergstrom

Hadley Wood

My husband has stage 3 CKD and had haematuria. I was concerned that contrast CT would not be possible. Kings Oak Hospital confirmed that a modified low-contrast protocol was available for his renal function level. The CT urography found a bladder tumour. TURBT performed. The specific management of CT investigation in a patient with CKD — rather than simply declining the investigation — was what made complete haematuria work-up possible for him.

January 2026

Kevin Murphy

New Barnet

New Barnet to Chase Farm is 15 minutes by road. My haematuria investigation was complete in 10 days — cystoscopy on day 4, CT urography on day 8. CT identified a small renal mass. Cystoscopy was clear. The upper tract tumour that CT urography found — which cystoscopy could not have seen — was the cause of my haematuria. Treated with laparoscopic partial nephrectomy. Complete investigation that covers both the bladder and the upper tract was what my clinical situation required.

March 2026

Sanjay Patel

Chase Farm

Living near Chase Farm makes Kings Oak Hospital my immediate practical option for any urgent medical need. Haematuria is the kind of symptom where local access makes the difference between acting immediately and waiting until a convenient time. Cystoscopy was arranged the same week. Clear result. CT urography identified a small kidney stone. The immediacy of local Cancer Lead access was what made urgent investigation possible without delay.

February 2026

Frequently asked questions

Can patients from Potters Bar get urgent private cystoscopy at Kings Oak Hospital, Chase Farm?

Yes. From Potters Bar, Kings Oak Hospital on The Ridgeway is 15–20 minutes by road. Most patients with visible haematuria are seen within 3–5 working days. Flexible cystoscopy is performed at the initial consultation or within the same week. Call +44 (0)7884 183968 immediately if you have blood in your urine.

I am on rivaroxaban for a heart condition — can I still have a cystoscopy at Kings Oak Hospital?

Yes. Flexible cystoscopy can be performed safely in patients on most anticoagulants — the procedure uses local anaesthetic gel and involves no incision, so the bleeding risk is low. If a biopsy is needed during cystoscopy, or if TURBT is required, anticoagulant management is discussed with your cardiologist before the procedure. At Kings Oak Hospital, the co-location with Chase Farm's cardiac facilities facilitates this coordination.

My kidneys are not working well (stage 3 CKD) — can I have CT urography for haematuria at Kings Oak?

Yes, with a modified protocol. In patients with stage 3 CKD (eGFR 30–59), reduced contrast dosing and pre-hydration minimise the risk of contrast nephropathy. In stage 4 CKD (eGFR 15–29) or worse, non-contrast CT is used — which visualises stones and masses but provides less detailed urothelial imaging. Mr. Godbole's team at Kings Oak Hospital checks renal function before arranging CT urography and adapts the protocol accordingly.

HRG Urology has two Enfield locations — Kings Oak Hospital and Cavell Hospital. Which is better for haematuria investigation?

Both provide the same private haematuria investigation under Mr. Godbole — cystoscopy, CT urography, and urine cytology. Kings Oak Hospital (Chase Farm EN2 8SD) is better for North Enfield, Cockfosters, Potters Bar, and Hertfordshire border patients. Cavell Hospital (Uplands Park Road EN2 7PR) is better for Enfield Town, Winchmore Hill, and Palmers Green. Call +44 (0)7884 183968 and the team will direct you to the closer location.

What is clot retention and does it require emergency care?

Clot retention occurs when blood clots from haematuria block the urethra, preventing urination. It is a urological emergency requiring immediate bladder irrigation to remove clots and a urethral catheter to maintain drainage. If you cannot urinate and have haematuria with lower abdominal pain and distension, attend Chase Farm A&E on the same campus as Kings Oak Hospital immediately. After emergency management, HRG Urology at Kings Oak Hospital coordinates the follow-up haematuria investigation.

Causes of Heamaturia

Cancer Urinary stones Urinary tract infections (UTIs) Injuries Kidney injury Medications such as blood thinning agents Certain food as beet root may stain urine red Indwelling catheters

Management of Heamaturia:

Treatment for hematuria should be sought urgently. After detailed history and through physical examination appropriate investigations are to be undertaken which would include relevant blood tests, urine tests, imaging and endoscopy for initial assessment. This symptom should not be disregarded and urgent urological review is to be sought.

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