Red blood cells in urine; Hematuria test; Urine - red blood cells
The RBC urine test measures the number of red blood cells in a urine sample.
A random sample of urine is collected. Random means that the sample is collected at any time either at the lab or at home. If needed, the health care provider may ask you to collect your urine at home over 24 hours. Your provider will tell you how to do this.
A clean-catch urine sample is needed. The clean-catch method is used to prevent germs from the penis or vagina from getting into a urine sample. To collect your urine, the provider may give you a special clean-catch kit that contains a cleansing solution and sterile wipes. Follow instructions exactly so that the results are accurate.
How to Prepare for the Test
No special preparation is necessary for this test.
How the Test will Feel
The test involves only normal urination. There is no discomfort.
Why the Test is Performed
A normal result is 4 red blood cells per high power field (RBC/HPF) or less when the sample is examined under a microscope.
The example above is a common measurement for a result of this test. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your provider about the meaning of your specific test result.
What Abnormal Results Mean
A higher than normal number of RBCs in the urine may be due to:
- Kidney and other urinary tract problems, such as infection, tumor, or stones
- Kidney injury
- Prostate problems
- Bladder or kidney cancer
There are no risks with this test.
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Emmett M, Fenves AZ, Schwartz JC. Approach to the patient with kidney disease. In: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner and Rector's The Kidney. 10th ed. Philadelphia, PA: Elsevier; 2016:chap 25.
Riley RS, McPherson RA. Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed. St Louis, MO: Elsevier; 2017:chap 28.