CT Urogram — Haematuria
CTNICE NG122015, updated 2026v2.0 · March 2026
Routine
Outpatient
All imaging requests must be justified by an IR(ME)R practitioner (radiologist or radiographer)2WW referral criteria
— ANY of the following
- Age ≥45 with unexplained visible haematuria without UTI, or persisting after UTI treatmentNICE NG12
- Age ≥60 with non-visible haematuria plus dysuria or raised WCCNICE NG12
Imaging pathway
Modality depends on haematuria type — visible haematuria requires CT urogram; non-visible haematuria usually USS
- Visible haematuria: CT urogram + flexible cystoscopy
- Non-visible haematuria: USS + cystoscopy usually sufficient
Notes
Information
CT urogram standard for visible haematuria investigation
Information
Non-visible haematuria typically investigated with USS
Radiation Dose
CT urogram effective dose ~10–15 mSv. MR urography alternative for young patients or contrast contraindication.
Pregnancy
MR urography preferred in pregnancy. CT urogram only if essential and benefit outweighs risk.
Change Log
v2.02026-03-08New protocol — haematuria investigation pathway