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RBC - urine

Definition

The RBC urine test measures the number of red blood cells in a urine sample.

Alternative Names

Red blood cells in urine; Hematuria test; Urine - red blood cells

How the test is performed

A clean-catch urine sample is needed.

To obtain a sample, boys and men should wipe the head of the penis clean. Girls and women need to wipe between the vaginal "lips" (labia) with soapy water and rinse well. Your doctor may give you a special clean-catch kit that contains a cleansing solution and sterile wipes.

Urinate a small amount into the toilet bowl to clear the urethra of any contaminants. Then, collect a sample of urine in a clean or sterile container. About 1 - 2 ounces of urine is needed for a test. Remove the container from the urine stream without stopping the flow. You may finish urinating into the toilet bowl. Take the sample to the lab.

For infants, the genital area is cleaned and dried, and then a collection device is attached to collect the urine. If you are asked to collect the urine, be sure the collection device is attached securely to prevent leakage. After your baby has urinated, the urine (at least 20 cc) is placed in a sterile container.

How to prepare for the test

No special preparation is necessary for this test, but if the collection is being taken from an infant, a couple of extra collection bags may be necessary.

How the test will feel

The test involves only normal urination, and there is no discomfort.

Normal Values

A normal result is 4 RBC/HPF (red blood cells per high power field) or less.

The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results.

What abnormal results mean

Greater than normal numbers of red blood cells in the urine may be due to:

Additional conditions under which the test may be performed:

References

Landry DW, Bazari H. Approach to the patient with renal disease. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 116.


Review Date: 8/21/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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