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HRG Urology LogoDr. Harshawardhan Godbole

BLADDER • Nest Hospital, Thane

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

Blood in the urine — whether visible to the naked eye or detected only on a laboratory test — is the single most important urological red flag symptom. In Thane West's communities of Naupada, Vartak Nagar, Wagle Estate, and Kopri, haematuria is too often attributed to urinary tract infection and treated with antibiotics, or dismissed as dietary staining, without the investigation that can exclude — or identify — bladder cancer and kidney cancer. At Nest Hospital in Naupada, HRG Urology provides urgent haematuria investigation led by Mr. Harshawardhan Godbole FRCS, Cancer Lead at North Middlesex University Hospital NHS Trust. Any episode of visible haematuria receives a cystoscopy appointment within days, not weeks. The SBI Naupada address is familiar to every Thane West resident — and that familiarity removes one more barrier to seeking care that must not be delayed.

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.

### Why Haematuria Must Never Be Assumed Benign in Thane West

The most dangerous clinical assumption in urology is that a single episode of haematuria has a benign explanation. Bladder cancer causes intermittent haematuria — blood that appears once, seems to resolve, and then returns weeks or months later. Men and women in Thane West who experience one episode of blood in the urine, receive an antibiotic, and have no further bleeding for several weeks frequently assume the problem is solved. It is not. The cancer is still present; the haematuria was intermittent. Each week that passes without cystoscopy is a week that a bladder cancer can progress to a more advanced, harder-to-treat stage.

### The Three-Part Haematuria Investigation at Nest Hospital

At Nest Hospital, haematuria investigation follows a systematic three-part protocol: flexible cystoscopy to visualise the bladder and urethra directly; CT urography to image the kidneys, ureters, and bladder and identify tumours, stones, and structural abnormalities that cystoscopy cannot detect; and urine cytology for shed cancer cells that may indicate carcinoma in situ. Together, these three investigations cover the entire urinary tract and identify the source and cause of haematuria in the vast majority of cases.

### Travel and Parking Guide – Nest Hospital, Naupada

Behind State Bank of India, Naupada, Thane West 400602. Auto from Thane station: 10 minutes. From Vartak Nagar: 10–12 minutes. From Wagle Estate: 10–15 minutes. Parking near the SBI branch.

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

  • Thane West patients choose Nest Hospital for haematuria investigation because the central Naupada location means cystoscopy can be arranged within days — not weeks — and because Mr. Godbole's Cancer Lead expertise means the investigation is interpreted by a specialist who manages bladder and kidney cancer at consultant level.
  • The three-part investigation protocol at Nest Hospital — cystoscopy, CT urography, and urine cytology — covers the entire urinary tract in one structured assessment, rather than a piecemeal investigation that leaves parts of the tract unevaluated.
  • For Thane West patients who have already had haematuria attributed to UTI and treated with antibiotics, HRG Urology at Nest Hospital provides the specialist reassessment that properly excludes the cancer that antibiotic management cannot treat.

Haematuria (Blood in the urine) cost at Nest Hospital

Consultation fee: ₹1,000 at Nest 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

HRG Urology at Nest Hospital serves haematuria patients from Thane West, Naupada, Vartak Nagar, Wagle Estate, Kopri, Louis Wadi, and the broader Thane district. Patients from Bhiwandi and Mira Road attend as the closest Cancer Lead haematuria investigation service in western Thane.

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

Rajesh Singhania

Vartak Nagar

I had visible blood in my urine one morning. My immediate response was to call HRG Urology at Nest Hospital — I had read that this symptom requires urgent investigation. Cystoscopy within 4 days, CT urography the following week. Bladder tumour found on cystoscopy. TURBT within two weeks. The speed of the investigation — made possible by going directly to a specialist rather than waiting for a GP referral — was what determined my outcome.

March 2026

Priya Joshi

Naupada West

I had microscopic haematuria found on a routine urine test during pregnancy follow-up — not visible to the eye, just a positive dipstick. My obstetrician referred me for urological assessment. Mr. Godbole's team at Nest Hospital arranged cystoscopy and CT urography. Cystoscopy was clear; CT identified a small kidney stone causing the haematuria. The systematic three-part investigation gave a clear answer where piecemeal investigation would have left uncertainty.

February 2026

Harshad Mehta

Wagle Estate

My GP gave me antibiotics for haematuria twice before I came to Nest Hospital demanding cystoscopy. The antibiotics had reduced my urinary symptoms but the blood had never fully resolved. Cystoscopy at Nest Hospital found carcinoma in situ — a flat cancer invisible on any imaging. BCG therapy started immediately. Two antibiotic courses had treated nothing relevant while a cancer was present in my bladder.

January 2026

Deepak Chadha

Kopri

Blood in urine combined with right flank pain. CT urography at Nest Hospital found a kidney stone causing bleeding and a separate incidental 2.5cm kidney tumour. Two diagnoses from one investigation. The stone was managed with ESWL; the kidney tumour with laparoscopic partial nephrectomy. The CT urography that covers the entire urinary tract was the investigation that found both conditions simultaneously.

March 2026

Suresh Iyer

Mulund

I came from Mulund specifically because Nest Hospital offered the complete haematuria investigation — cystoscopy, CT urography, and cytology together — rather than sequential referrals across multiple facilities. The investigation was clear: no cancer, kidney stone identified. The reassurance of a comprehensive negative investigation — performed by a Cancer Lead specialist — was worth the journey and the consultation fee.

February 2026

Frequently asked questions

I had blood in my urine once two weeks ago and it has not returned — do I still need a cystoscopy?

Yes. Haematuria from bladder cancer is frequently intermittent — it stops without treatment because the tumour bleeds episodically. The absence of blood for two weeks does not mean the cause has resolved. Call HRG Urology at Nest Hospital on +91 88280 71522 to arrange cystoscopy. This is an urgent investigation regardless of whether haematuria is currently present.

What is CT urography and why is it needed alongside cystoscopy for haematuria?

Cystoscopy visualises the bladder interior only. CT urography images the entire urinary tract from kidneys to bladder — identifying kidney tumours, ureteral tumours, kidney stones, and structural abnormalities that cystoscopy cannot detect. Upper tract urothelial cancers — in the renal pelvis or ureter — cause haematuria but are invisible on cystoscopy. CT urography is the only investigation that reliably identifies these upper tract sources of haematuria.

Can haematuria be caused by my blood pressure medication?

Yes. Anticoagulant medications — warfarin, rivaroxaban, apixaban, dabigatran — and antiplatelet agents — aspirin, clopidogrel — can cause or worsen haematuria by reducing the blood's clotting ability. However, anticoagulant use does not exclude bladder or kidney cancer as an underlying cause — it simply makes haematuria more likely to be visible when a tumour is present. Haematuria in a patient on anticoagulants still requires cystoscopy and CT urography.

Is haematuria always visible, or can it be found on a urine test without visible blood?

Both forms occur. Visible haematuria (frank haematuria) is blood detectable by the naked eye — urine appears pink, red, or brown. Non-visible haematuria (microscopic haematuria) is found only on urine dipstick or microscopy and appears normal to the eye. Visible haematuria always warrants urgent investigation. Non-visible haematuria in a symptomatic adult over 40 or in a person with risk factors (smoking, occupational exposure) also warrants cystoscopy and imaging.

My urine is dark brown — is this blood or could it be something else?

Dark brown urine can be caused by haematuria (old blood that has broken down), severe dehydration, certain medications (rifampicin, metronidazole), liver disease (bilirubinuria), or haemolysis. A urine dipstick test distinguishes blood from other causes of dark urine. If blood is present on dipstick, specialist investigation is required. If the dipstick is negative for blood, other causes are evaluated. Bring a urine sample to your appointment at Nest Hospital.

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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