Q. A 62-year-old male with a 30-pack-year smoking history presents to the clinic with complaints of visible blood in his urine for the past few weeks. He also reports a gradual increase in the frequency of urination, particularly at night, and a burning sensation while urinating. He denies any recent fever, weight loss, or flank pain.
On physical examination, vital signs are within normal limits. His abdomen is soft and non-tender, but a mild suprapubic tenderness is appreciated. No costovertebral angle tenderness is noted.
Laboratory results are as follows: Complete Blood Count shows mild anemia with hemoglobin of 11.8 g/dL. Urinalysis reveals 25-30 RBC/HPF, positive for nitrites and leukocyte esterase, with a few white blood cells. Urine cytology shows atypical cells.
What is the next best step in the management of this patient?