Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of terminal hematuria, frequency, and suprapubic discomfort. History of exposure to endemic freshwater sources. No history of nephrolithiasis or malignancy. Symptoms are chronic/progressive.
Clinical Examination Findings
Abdominal exam: Suprapubic tenderness noted. External genitalia: Normal. Digital Rectal Exam (DRE): Prostate non-tender, no nodules. Bladder ultrasound: Possible wall thickening, calcifications, or polypoid lesions suggestive of chronic Schistosomiasis.
Treatment Protocol
Initiate Praziquantel 40 mg/kg in divided doses. Schedule cystoscopy with biopsy for histopathological confirmation of Schistosoma haematobium ova. Monitor for secondary bacterial cystitis and manage with appropriate antibiotics if indicated.