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HRG Urology LogoDr. Harshawardhan Godbole

BLADDER • RGMC Kalwa, Thane

Haematuria (Blood in the urine) in Thane — RGMC Kalwa

In Kalwa, Mumbra, Diva, and Airoli, haematuria is too frequently managed without cystoscopy — partly because specialist access has been limited, and partly because the symptom is attributed to endemic conditions (kidney stones, UTI, occupational chemical exposure) without systematic investigation. The result is that bladder and kidney cancers in Thane East are diagnosed later and at more advanced stages than in areas with better specialist access. Rajiv Gandhi Medical College in Kalwa — accessible by local train from Mumbra in 10 minutes and from Diva in 5 — provides the cystoscopy and CT urography that Thane East's haematuria patients need. Mr. Harshawardhan Godbole FRCS, Cancer Lead, leads HRG Urology's haematuria investigation service here, providing the same standard of urological investigation available at London's Cancer Lead centres.

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.

### Occupational Chemical Exposure Haematuria in Thane East

Workers in the Thane–Belapur industrial belt who develop haematuria require specific investigation beyond standard haematuria protocol. Aromatic amine exposure from dye manufacturing and chemical processing causes bladder cancer with a typically longer latency period — 10–20 years from exposure to cancer development. Workers who were exposed in the 1990s and 2000s are now reaching the age at which bladder cancer associated with that exposure is developing. At Rajiv Gandhi Medical College, Mr. Godbole's team specifically asks about occupational history for every haematuria patient — workers with significant aromatic amine exposure history receive priority cystoscopy regardless of whether other benign explanations are present.

### Schistosomiasis-Related Bladder Cancer — A Specific Thane East Consideration

Schistosoma haematobium infection — acquired through contact with contaminated freshwater in endemic areas of Africa, the Middle East, and parts of India — causes chronic bladder inflammation (cystitis) and is associated with squamous cell carcinoma of the bladder, a more aggressive histological type than the transitional cell carcinoma seen in non-infected patients. For patients who have lived in or migrated from schistosomiasis-endemic areas, haematuria requires investigation with this specific cancer risk in mind. At Rajiv Gandhi Medical College, a travel and migration history is part of every haematuria assessment.

### Travel and Parking Guide – Rajiv Gandhi Medical College, Kalwa

Rajiv Gandhi Medical College, Kalwa, Thane 400605. Local train: Kalwa station, 5 minutes by auto from campus gate. From Mumbra: 10 minutes by train. From Diva: 5 minutes. By road from Airoli: 20 minutes. Campus parking available.

Why choose RGMC Kalwa for haematuria (blood in the urine)?

  • Mumbra, Diva, and Airoli patients choose Rajiv Gandhi Medical College for haematuria investigation because Kalwa station is 5–10 minutes by local train — bringing Cancer Lead cystoscopy and CT urography to Thane East communities that have previously had to travel to Thane West or Mumbai.
  • The occupational history assessment at Rajiv Gandhi Medical College specifically identifies industrial chemical exposure from the Thane–Belapur belt — ensuring that workers with latent aromatic amine exposure receive priority cystoscopy investigation.
  • The campus's CT and cystoscopy infrastructure allows the three-part haematuria investigation to be completed within the same institutional setting in a single or two-visit process.

Haematuria (Blood in the urine) cost at RGMC Kalwa

Consultation fee: ₹1,000 at Rajiv Gandhi Medical College. 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

Rajiv Gandhi Medical College serves haematuria patients from Kalwa, Mumbra, Diva, Airoli, Thane East, Vitawa, Kopri, and via the railway from Vashi and Ghansoli. The campus is the most accessible Cancer Lead haematuria specialist for Thane East.

Patient reviews — haematuria (blood in the urine) at RGMC Kalwa

Govind Deshmukh

Kalwa West

I worked in a chemical plant near Thane for 12 years. When I had haematuria, I came to Rajiv Gandhi Medical College knowing that my occupational history made this serious. Mr. Godbole's team prioritised my cystoscopy. A bladder tumour was found. TURBT and BCG followed. The occupational history assessment that identified my elevated risk category — and the resulting priority cystoscopy — was what determined my clinical outcome.

March 2026

Rustam Irani

Diva

From Diva, the train to Kalwa takes 5 minutes. I had sterile pyuria and haematuria — my local clinic could not explain the combination. At Rajiv Gandhi Medical College, TB urine culture was added to the standard haematuria investigation. TB culture was positive — genitourinary tuberculosis was the cause. Anti-TB treatment resolved the haematuria. The correct investigation that identified the TB cause would not have been performed without the comprehensive protocol at the Kalwa campus.

January 2026

Sukhwinder Bains

Mumbra

Mumbra to Kalwa is 10 minutes by train. I had visible haematuria that my GP attributed to a UTI without cystoscopy. At Rajiv Gandhi Medical College, cystoscopy was performed within the week. Bladder tumour confirmed. TURBT performed within 3 weeks. The investigation that my GP had not arranged — cystoscopy for haematuria — was what found a cancer that antibiotic management would never have treated.

February 2026

Kavitha Subramanian

Airoli

I accompanied my husband from Airoli to Rajiv Gandhi Medical College for haematuria investigation. The campus infrastructure allowed cystoscopy and CT urography to be arranged in the same week. Cystoscopy was clear. CT urography found a kidney stone and a small renal pelvis lesion — the lesion that required further staging. The complete investigation that found the upper tract tumour alongside the stone was what the protocol at this campus is specifically designed to achieve.

March 2026

Mohan Agarwal

Thane East

My father had migrated from an area where schistosomiasis is endemic. When he developed haematuria in his 60s, Mr. Godbole's team at Rajiv Gandhi Medical College included schistosomiasis testing alongside the standard haematuria protocol. Schistosoma serology was positive. Cystoscopy found changes consistent with chronic schistosomiasis. The migration history assessment that prompted specific testing identified a cause that the standard investigation alone would not have explored.

February 2026

Frequently asked questions

I worked in a chemical factory in the Thane–Belapur area for 15 years — should I have haematuria screening?

Yes. Workers with 10+ years of exposure to aromatic amines in chemical processing, dye production, rubber, or leather manufacturing have an elevated lifelong bladder cancer risk. Occupational health guidelines recommend annual urine cytology and cystoscopy every 2–3 years for high-risk workers. If you have haematuria — even microscopic — and this occupational history, call HRG Urology at Rajiv Gandhi Medical College immediately on +91 88280 71522.

Can patients from Mumbra reach Rajiv Gandhi Medical College by train for haematuria investigation?

Yes. Kalwa station is approximately 10 minutes from Mumbra station by local train on the central line. From Kalwa station, the medical college campus is 5 minutes by auto-rickshaw. Cystoscopy at HRG Urology Rajiv Gandhi Medical College is available within the same week of first contact for haematuria patients.

What is schistosomiasis and how does it affect bladder cancer risk?

Schistosoma haematobium is a parasitic infection contracted through contact with contaminated freshwater in endemic areas including sub-Saharan Africa, Egypt, and parts of the Middle East and South Asia. Chronic infection causes bladder wall inflammation and fibrosis — and is associated with squamous cell carcinoma of the bladder, which differs from the more common transitional cell carcinoma. If you have lived in or migrated from a schistosomiasis-endemic area and have haematuria, mention this at your consultation at Rajiv Gandhi Medical College.

Is the entire haematuria investigation — cystoscopy, CT, and cytology — available on the Kalwa campus?

Yes. Flexible cystoscopy, CT urography (available at the medical college's imaging department), and urine cytology (processed by the on-campus laboratory) are all available at Rajiv Gandhi Medical College. This means the complete haematuria investigation can be coordinated within the same campus, reducing the number of separate facility visits required for patients from Mumbra, Diva, and Airoli who travel specifically for specialist care.

Can haematuria be caused by tuberculosis of the kidney or bladder?

Yes. Genitourinary tuberculosis (GUTB) — TB affecting the kidneys, bladder, or ureters — is relatively more prevalent in India than in Western countries. GUTB causes 'sterile pyuria' (white cells in the urine without bacterial growth) and haematuria. Cystoscopy may show a characteristic inflamed, contracted bladder. Urine culture for TB (early morning urine mycobacterial culture) is arranged where GUTB is suspected. At Rajiv Gandhi Medical College, haematuria with sterile pyuria prompts TB culture alongside the standard 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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