PURPOSE: A retrospective study was done to determine whether voided urinary cytology was necessary in women with irritative voiding symptoms without hematuria. MATERIALS AND METHODS: A total of 202 cytology studies was obtained from 128 women presenting with urge incontinence and/or irritative voiding symptoms between 1990 and 1995. RESULTS: Five patients with irritative symptoms and hematuria were diagnosed with transitional cell carcinoma. Cytology was positive in 3 patients, atypical in 1 and normal in 1. No positive cytology studies or carcinomas were noted in patients without hematuria. Urinary tract carcinoma was confirmed by cystoscopy and biopsy if necessary. CONCLUSIONS: The benefits of cytology for patients without hematuria are questioned in the cost-effective treatment of female patients with irritative bladder symptoms.
PURPOSE: A retrospective study was done to determine whether voided urinary cytology was necessary in women with irritative voiding symptoms without hematuria. MATERIALS AND METHODS: A total of 202 cytology studies was obtained from 128 women presenting with urge incontinence and/or irritative voiding symptoms between 1990 and 1995. RESULTS: Five patients with irritative symptoms and hematuria were diagnosed with transitional cell carcinoma. Cytology was positive in 3 patients, atypical in 1 and normal in 1. No positive cytology studies or carcinomas were noted in patients without hematuria. Urinary tract carcinoma was confirmed by cystoscopy and biopsy if necessary. CONCLUSIONS: The benefits of cytology for patients without hematuria are questioned in the cost-effective treatment of female patients with irritative bladder symptoms.
Authors: W S Smellie; J O Forth; C A M McNulty; L Hirschowitz; D Lilic; R Gosling; D Bareford; E Logan; K G Kerr; G P Spickett; J Hoffman; A Galloway; C A Bloxham Journal: J Clin Pathol Date: 2006-02 Impact factor: 3.411
Authors: Andrew F Hundley; Susan Maygarden; Jennifer M Wu; Anthony G Visco; AnnaMarie Connolly Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2007-01-05