Objective: Hematuria is an important and common sign of urinary system diseases in children. Careful assessment is needed for definitive diagnosis and appropriate management. In this study we aimed to investigate the demographic and clinical characteristics of patients who were admitted to our pediatric nephrology clinic with hematuria and to determine the features that will guide the diagnosis. Material and Methods: Medical charts of 370 patients who were referred to our clinic in a period of four years with gross/macroscopic or microscopic hematuria were evaluated retrospectively. Demographical data, clinical and laboratory findings, imaging modalities and diagnosis of the patients were investigated. Results: Of the patients 195 (52.7 %) were boys and 175 (47.3%) were girls and the majority of the patients were in the age group of 6-10 years. Two hundred and thirty-four (%63.2) of the patients had macroscopic hematuria and 44 (15.3 %) had glomerular hematuria. Non-glomerular causes were found to be significantly higher among patients with macroscopic hematuria (p=0.002). Acute poststreptococcal glomerulonephritis (APSGN) formed the most of glomerular hematuria and urinary system infections formed the large number of non-glomerular hematuria causes respectively. Conclusion: This study suggests that a careful history, detailed physical examination and clinical evaluation may elucidate the etiology in most of the patients with hematuria. Advanced imaging modalities and renal biopsy are indicated only in selected cases.