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External Ureteral Compression to Identify the Origin of Hematuria

Ann Intern Med. 1964;61(6):1104-1108. doi:10.7326/0003-4819-61-6-1104
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One difficulty in patients with hematuria has been localization of the bleeding site. The preparation and specialized skills required for cystoscopy prevent prompt performance of this procedure. Frequently it is not performed until after bleeding has stopped. Not knowing the origin of bleeding hinders further evaluation.

A simple, safe, clinically practical technique whereby either or both ureters can be occluded for short periods of time by abdominal compression has been described (1). The purpose of this paper is to present data which show that the origin of genitourinary bleeding can be localized by unilateral urine sampling using external ureteral compression.


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