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Hydroxyproline in Urine (24-Hour Collection)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of hydroxyproline, a breakdown product of collagen, in your urine over 24 hours. It helps assess collagen turnover and may be used to evaluate conditions affecting connective tissue.

Quick summary

["Hydroxyproline in urine helps track collagen breakdown, useful for monitoring connective tissue health."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
104738-0
Short code
Hgb Stl gastro lower Ql
Synonyms
Hgb Stl gastro lower Ql
Category
hematology
Sample
stool
Container
Clean container
Units
N/A
Ref low
10
Ref high
40
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
Specimen volume
5 g
Stability
Refrigerated: 24h, Frozen: 7d
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test to evaluate conditions that affect collagen production or breakdown, such as certain types of kidney disease, scarring (fibrosis), or connective tissue disorders. It can also be used to monitor treatment responses in patients with chronic kidney disease or other collagen-related conditions.

What to Expect Before the Test

You’ll need to collect all urine for a full 24-hour period, starting right after you wake up and ending just before you wake up the next morning. Drink plenty of fluids to help your urine flow normally. Avoid taking any medications that might interfere with the test unless approved by your doctor.

How the Test Is Done

Your urine sample is collected in a container and sent to a lab. The lab analyzes the sample for hydroxyproline levels using specialized techniques, such as chromatography or immunoassay, to measure its concentration.

What the Results Mean

Results are typically reported as the total amount of hydroxyproline excreted in the urine over 24 hours. Higher levels may indicate increased collagen breakdown, while lower levels could suggest reduced collagen turnover or certain metabolic conditions.

Reference range

Adult: 10-40 U/LN/A

Specimen: stool

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Urine Hydroxyproline

Frequently asked questions

What are the normal reference ranges for this test?
Normal reference ranges can vary by lab and method. Your doctor will interpret your results in relation to your specific health needs and any known conditions. If your results are outside the expected range, further evaluation may be needed to understand the cause.
How long will it take to get my results?
Test results are usually available within a few days to a week, depending on lab processing times. Your doctor will contact you once the results are ready to discuss them further.
Can I eat or drink anything before this test?
Yes, you can eat and drink normally before this test, as it involves a 24-hour urine collection. Avoid any special dietary restrictions unless instructed by your healthcare provider.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy