A 55 year old smoker presents with history of five episodes of macroscopic hematuria each lasting for about 4-5 days in the past five years. Which of the following investigations should be performed to evaluate the suspected diagnosis?: (A) Urine microscopy and cytology, (B) X-Ray KUB, (C) Ultrasound KUB, (D) DTPA scan
Answer is A. Elderly smoker with episodes of painless hematuria should be investigated to rule out carcinoma. Among the options , initial test is urine microscopy and cytology. Ref: ABC of urology By Chris Dawson, Hugh N. Whitfield, Page 29.