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HRG Urology LogoDr. Harshawardhan Godbole

BLADDER • Godbole Hospital, Thane

Haematuria (Blood in the urine) in Thane — Godbole Hospital

M.G. Road in Naupada runs through a community where Godbole's Heart Care Hospital is already a trusted healthcare institution. For patients from Bhaskar Colony, Shivaji Nagar, Louis Wadi, and Khopat who develop haematuria — blood in the urine — the familiar M.G. Road address makes seeking urgent specialist assessment less intimidating than travelling to an unknown facility. This matters, because haematuria is the symptom that people most commonly delay investigating — attributing it to dietary factors or infection, taking antibiotics, and waiting. At Godbole's Heart Care Hospital, HRG Urology provides urgent haematuria investigation led by Mr. Harshawardhan Godbole FRCS, Cancer Lead, who treats blood in the urine as the red flag symptom it is — prioritising cystoscopy, CT urography, and the systematic investigation that the symptom demands.

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.

### The Anticoagulant Patient and Haematuria at M.G. Road

Godbole's Heart Care Hospital's multi-speciality environment — which includes cardiology — creates a specific haematuria patient group: men and women on warfarin or newer oral anticoagulants (NOACs) for atrial fibrillation or deep vein thrombosis who develop haematuria. The cardiological context makes haematuria management more complex: anticoagulants cannot simply be stopped for investigation without cardiology review, and haematuria from anticoagulant use does not exclude an underlying urological cancer. At Godbole's Heart Care Hospital, the co-location of urology and cardiology enables coordinated management of anticoagulant-associated haematuria — investigating the urological source while managing the anticoagulant appropriately with cardiological input.

### Haematuria from IgA Nephropathy — A Medical Cause Requiring Nephrological Assessment

Not all haematuria has a urological source. IgA nephropathy — the most common cause of glomerular haematuria worldwide, more prevalent in South and East Asian populations — causes episodic visible haematuria triggered by upper respiratory infections. The haematuria is bilateral (from both kidneys) and has no urological source on cystoscopy. Distinguishing IgA nephropathy from urological haematuria requires urine microscopy for red cell casts alongside cystoscopy. At Godbole's Heart Care Hospital, Mr. Godbole's team evaluates all haematuria patients for both urological and glomerular causes — arranging nephrological referral where IgA nephropathy is suggested.

### Travel and Parking Guide – Godbole's Heart Care Hospital

M.G. Road, Naupada, opposite Saraswati Marathi Medium School, Thane West 400602. Auto from Thane station: 10–15 minutes. From Shivaji Nagar: walkable. From Louis Wadi and Khopat: 8–10 minutes. Street parking on M.G. Road.

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

  • M.G. Road community patients choose Godbole's Heart Care Hospital for haematuria investigation because the familiar institutional setting reduces the delay in seeking assessment — and in haematuria, every week of delay is a week a cancer can progress.
  • The multi-speciality co-location at Godbole's Heart Care Hospital enables coordinated management of anticoagulant-associated haematuria — investigating the urological source while cardiology manages the anticoagulant safely.
  • Mr. Godbole's team evaluates both urological and glomerular (kidney) causes of haematuria at this M.G. Road location — distinguishing IgA nephropathy from cancer causes and arranging appropriate nephrology referral where needed.

Haematuria (Blood in the urine) cost at Godbole Hospital

Consultation fee: ₹1,000 at Godbole's Heart Care Hospital. Treatment costs vary — call +91 88280 71522 for a detailed 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

Godbole's Heart Care Hospital serves haematuria patients from Naupada, Bhaskar Colony, Shivaji Nagar, Louis Wadi, Khopat, M.G. Road, Thane West, and the broader Thane district.

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

Vikram Kapoor

Shivaji Nagar

My mother is on warfarin for atrial fibrillation and had visible blood in her urine. Her cardiologist was concerned about stopping the warfarin for investigation. Coming to Godbole's Heart Care Hospital on M.G. Road — where urology and cardiology co-exist — was exactly right. Mr. Godbole coordinated with the cardiology team on anticoagulation management. Cystoscopy showed a bladder tumour. TURBT was performed safely with anticoagulation temporarily bridged. The multi-speciality coordination was what made safe investigation possible.

March 2026

Anita Tendulkar

Bhaskar Colony

I had haematuria that coincided every time with a cold. Mr. Godbole's team at Godbole's Hospital recognised the IgA nephropathy pattern immediately — haematuria 24 hours after an upper respiratory infection onset. Urine microscopy confirmed glomerular haematuria. Cystoscopy was clear. Nephrological referral arranged. The correct identification of a medical cause rather than a urological one prevented unnecessary further urological investigation.

February 2026

Ratan Oswal

M.G. Road area

I had visible haematuria once and my immediate thought was bladder cancer — I had read about the symptom. Coming to Godbole's Heart Care Hospital the next day, cystoscopy was arranged within 3 days. The cystoscopy was clear. CT urography found a kidney stone. Urine cytology was negative. The reassurance of a complete negative investigation — all three parts — was exactly what I needed. Not all haematuria is cancer, but all haematuria needs to be properly investigated.

January 2026

Krishnaswamy Nadar

Khopat

I had microscopic haematuria found on a pre-employment medical test. My employer's medical officer said it was probably nothing. I came to HRG Urology at Godbole's Hospital to investigate properly. CT urography found a small renal tumour — too small to cause symptoms but causing the microscopic bleeding detected on the urine test. A Bosniak IV lesion requiring surgery. The incidental investigation that found a cancer before symptoms developed was the most important medical step I took.

March 2026

Sunita Wadhwa

Louis Wadi

My husband had brown-coloured urine that we attributed to dehydration and diet. A urine dipstick at Godbole's Hospital confirmed blood on chemical testing even though it appeared brown rather than red. Cystoscopy was clear. CT urography found a kidney tumour — the haematuria had been from the kidney, not the bladder. Laparoscopic partial nephrectomy performed. The brown urine that could have been dismissed as benign turned out to be from a kidney cancer.

February 2026

Frequently asked questions

I am on warfarin for my heart — does haematuria need investigation if it could just be from the blood thinners?

Yes, always. Warfarin and other anticoagulants increase the visibility of haematuria from any source — including bladder cancer. Studies show that bladder cancer occurs at the same rate in patients on anticoagulants as in the general population, and haematuria in an anticoagulated patient is just as likely to indicate cancer as in a non-anticoagulated one. At Godbole's Heart Care Hospital, urological investigation proceeds in coordination with cardiology to manage anticoagulation appropriately during cystoscopy.

What is IgA nephropathy and how is it distinguished from bladder or kidney cancer as a cause of haematuria?

IgA nephropathy causes episodic visible haematuria typically occurring 1–2 days after an upper respiratory infection — haematuria coinciding with a cold or sore throat is a characteristic pattern. Unlike urological haematuria, it is painless and bilateral. Urine microscopy shows dysmorphic red cells and red cell casts — indicating a glomerular source. Cystoscopy is clear. Kidney biopsy confirms the diagnosis. If your haematuria follows a pattern of coinciding with infections, mention this at your consultation at Godbole's Heart Care Hospital.

Can kidney stones cause blood in the urine even without pain?

Yes. Not all kidney stones cause the classic severe pain of renal colic. Small stones may pass without significant pain while causing haematuria. Stones lodged in the renal pelvis may cause haematuria without pain. CT KUB — a CT specifically for kidney stone detection — is included in the haematuria investigation protocol at Godbole's Heart Care Hospital where a stone cause is suspected, as ultrasound misses a significant proportion of small stones.

I have had prostate problems for years — could my haematuria be from my prostate rather than bladder cancer?

Yes. BPH and prostate inflammation can cause haematuria — bleeding from the enlarged prostate's blood vessels. However, concurrent prostate pathology does not exclude bladder cancer as a cause of haematuria. Both conditions can coexist. Cystoscopy visualises both the bladder and the prostate urethra, and PSA testing at the same consultation screens for prostate cancer alongside the haematuria investigation. No haematuria in an adult over 40 should be attributed solely to BPH without cystoscopy.

How long does haematuria investigation take at Godbole's Heart Care Hospital on M.G. Road?

Flexible cystoscopy takes 10–15 minutes and is performed at the initial consultation or within the same week. CT urography is arranged within 1–2 weeks of the cystoscopy. Urine cytology results are available within 7–10 days. The complete haematuria investigation — cystoscopy, CT, and cytology — is typically concluded within 2–3 weeks of first contact. All results are reviewed with the patient at a follow-up consultation.

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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