Recently in Urology Category

This is an 87 year old man who has a protracted hospital stay complicated by ESBL and VRE UTI, c. difficile colitis, MRSA and pseudomonal pneumonia who has had chronic anemia now having acute respiratory distress and rapidly worsening anemia (hemoglobin drop from 9.8 g/dL to 6.9 g/dL). He has had hematuria for five days. A CT scan was done, see below, what is the next step?