### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
WENT TO THE EMERGENCY ROOM DUE TO HEMATURIA..I AM A FEMALE..64 YRS. OLD HYSTRECTOMY IN 1973..HAD PUBO VAGINAL MESH BLADDER SLING SURGERY IN MAY 2012..HAVE BEEN NOTICING SPOTTING..WHEN I REPORT THIS TO UROLOGISTS HE ALWAYS SAYS ..OH JUST A TRACT INFECTION..DOCTOR IN EMERGENGY ROOM SAID..VERY LITTLE WHITE BLOOD CELLS IN URINE BUT EXTREMELY VERY HIGH AMOUNT OF RED BLOOD CELLS IN URINE..SHE TOLD ME TO GO TO MY UROLOGISTS..HE DID NT EVEN EXAMINE ME..TOOK URINE SAMPLE ONLY..GAVE HIM REPORT FROM EMERGENCY ROOM SHOWING HIGH RBC AND TOLD HIM THE DOCTOR IN EMERGENCY ROOM SAID HE SHOULD DO A CYSTO WITH A BIOPSY TO RULE OUT BLADDER CANCER..HE SAID IF YOU HAD CANCER I WOULD HAVE SEEN THAT IN 2012 WHEN I DID THE SURGERY..I WAS WORRIED AND GOT EMERGENY APPT. WITH MY GYN..HE BECAME VERY WORRIED AT THE LACK OF TREATMENT FROM MY UROLOGISTS AND IMMEDIATELY ORDERED KIDNEY SONOGRAM WHICH ONLY SHOWED RENAL CORTICAL THINNING BILATERALLY AND HOOKED ME UP WITH A UROLOGICAL PELVIC SPECIALISTS..HE TOLD ME NOT TO GO BACK TO MY ORIGINAL DOCTOR BECAUSE HE WAS OVERLOOKING PROBLEMS THAT HAD TO BE ANSWERED RIGHT AWAY.I AM VERY LUCKY TO HAVE THIS FINE OB/GYN SHOW SOME COMPASSION.DDDDOES IT SEEM LIKE THE UROLOGISTS IS AFRAID THERE ARE PROBLEMS WITH THE MESH SURGERY AND WANTS TO WASH HIS HANDS OF IT?

### output:

Hi, Thanks for using Chat Doctor. Pubo vaginal mesh bladder sling surgery as you had 1 year back may not be reason for your blood in urine. This surgery can result in blood in urine if there were any damage to bladder during operation. But this will be associated with other acute symptoms. Your symptoms are not suggestive of bladder injury. Blood in urine needs to be evaluated for its cause. Renal infection, Stones or malignant lesions could result in blood in urine. If you are on blood thinning medication they can also cause blood in urine. As you have already got ultrasound done, better to get cystoscopy done for bladder lesions and biopsy from suspicious area. Any symptom should not be overlooked, needs evaluation and management. Hope this helps regards