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Publication Name World Journal of Translational Medicine
Manuscript ID 122755
DOI 10.5528/wjtm.122755
Country India
Category Urology & Nephrology
Manuscript Type Minireviews
Article Title Beyond the bladder: Recognising glomerular hematuria and the role of genetic testing in clinical practice
Manuscript Source Invited Manuscript
All Author List Sairam Bashyam and Mythri Shankar
Funding Agency and Grant Number
Corresponding Author Mythri Shankar, Associate Professor, Department of Nephrology, Institute of Nephrourology, Victoria Hospital Campus, Bengaluru 560102, Karnataka, India. mythri.nish@gmail.com
Key Words Microhematuria; Glomerular hematuria; Genetic testing; Alport syndrome; Next-generation sequencing; Whole-exome sequencing; Nephrology referral
Core Tip This review challenges the traditional perception of isolated hematuria as benign by emphasizing the critical role of genetic testing in precision nephrology. We propose a practical traffic-light framework to guide test ordering, enabling clinicians to recognize glomerular hematuria needing nephrology referral, select between targeted panels and whole-exome sequencing, and incorporate pre-test counselling in busy practice. The approach integrates cascade screening, underscores the impact of molecular diagnosis on immunosuppression, and addresses safeguarding living-related donors through genetic evaluation. By bridging urology and nephrology, it supports personalized care, avoids invasive procedures, enables early nephroprotection, and improves prognostication in hereditary kidney disease overall outcomes.
Citation Bashyam S, Shankar M. Beyond the bladder: Recognising glomerular hematuria and the role of genetic testing in clinical practice. World J Transl Med 2026; In press
PDF 122755-in-press.pdf
Received
2026-04-27 08:31
Peer-Review Started
2026-04-27 08:33
First Decision by Editorial Office Director
2026-05-31 11:39
Return for Revision
2026-06-01 14:01
Revised
2026-06-14 18:48
Publication Fee Transferred
Second Decision by Editor
2026-07-08 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-08 07:06
Articles in Press
2026-07-08 07:06
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2220-6132 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
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