Do I need a Red Cells, Urine test?

Have you noticed blood in your urine or want to understand what's happening in your urinary system? Detecting red blood cells in urine may help you take early steps toward better health.

This test measures the presence of red blood cells in your urine, which can help identify whether blood is coming from your kidneys, bladder, or urinary tract.

Understanding your urine composition can help you feel more in control of your health and make informed decisions with your healthcare provider. When you can see your results clearly, you're better equipped to discuss next steps and any concerns. That's why this biomarker is included in Listen Health's comprehensive testing panel — so you get a clearer picture of your whole health story.

Red Cells, Urine — Key Facts
MeasuresChecks for the presence of red blood cells in urine
CategoryUrine
UnituL
Tested inListen Health Standard & Premium membership (100+ biomarkers)
Reviewed byDr Jamie Deans, MBChB

What is it?

Hematuria is the presence of red blood cells (RBCs) in urine. It can appear as visible blood (gross hematuria) or be detected only under a microscope (microscopic hematuria). The amount and persistence of blood in the urine help determine whether it originates from the kidneys, bladder, or urinary tract.

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Why does it matter?

While minor and temporary hematuria can result from exercise or minor irritation, persistent red blood cells in urine can signal infection, kidney stones, trauma, or structural abnormalities. It can also be an early warning sign of more serious issues like bladder, kidney, or prostate cancer.


Detecting hematuria early prompts further testing such as imaging, urine microscopy, or cystoscopy to identify and treat the underlying cause before complications develop.

References

  1. Ingelfinger, J. R. (2021). Hematuria in adults. The New England Journal of Medicine, 385(17), 1594–1602.

  2. Barocas, D. A., Lotan, Y., Matulewicz, R. S., et al. (2025). Updates to microhematuria: AUA/SUFU guideline (2025). The Journal of Urology, 213(2), 279–289.

  3. Bolenz, C., Schröppel, B., Eisenhardt, A., Schmitz-Dräger, B. J., & Grimm, M. O. (2018). The investigation of hematuria. Deutsches Ärzteblatt International, 115(48), 801–807.

  4. Rai, B. P., Luis Domínguez Escrig, J., Vale, L., et al. (2022). Systematic review of the incidence of and risk factors for urothelial cancers and renal cell carcinoma among patients with haematuria. European Urology, 82(2), 181–192.

  5. Nielsen, M., & Qaseem, A. (2016). Hematuria as a marker of occult urinary tract cancer: Advice for high-value care from the American College of Physicians. Annals of Internal Medicine, 164(7), 488–497.

Frequently Asked Questions

AHPRA Disclaimer: This information is general in nature and should not replace individual medical advice. Always discuss your test results and health concerns with a registered healthcare practitioner.