| Abstract: | The aim of the study was to investigate the incidence of haematuria in patients presenting to the emergency department with renal colic, subsequently proven to be due to renal or ureteric calculus. Of 461 files reviewed, 239 satisfied the study criteria. Twenty two of these (9.2%) had no haematuria. Injectable narcotic analgesic was required in 203 of 239 cases whilst the remaining 36 patients received oral analgesic. Analysis of data from the study group as well as two other groups selected from the rejected files showed that the incidence of haematuria was the highest (91%) when patients presented with acute renal colic requiring injectable narcotic analgesic (active state) and was the lowest (47%) for patients admitted for elective management of calculi (quiescent state). Emergency intravenous urogram should be performed in patients presenting with suspected renal colic without haematuria. |
