Flexible Cystoscopy Findings in Patients Investigated for Profound Lower Urinary Tract Symptoms, Recurrent Urinary Tract Infection, and Pain

Howles, Sarah; Tempest, Heidi; Doolub, Gemina; Bryant, Richard J.; Hamdy, Freddie C.; Noble, Jeremy; Larré, S.

doi:10.1089/end.2012.0139

Cited by 11 publications

(13 citation statements)

References 14 publications

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“…Howles et al retrospectively investigated the diagnostic performance of flexible cystoscopy for 113 men and women with profound lower urinary tract symptoms, recurrent UTI, or pain . Because there is no female equivalent to the 2010 NICE guidelines for men with these conditions, the authors attempted to extrapolate guideline recommendations to a cohort of both men and women .…”

Section: Discussionmentioning

confidence: 99%

Diagnostic yield of cystoscopy in the evaluation of recurrent urinary tract infection in women

Pagano

Barbalat

Theofanides

et al. 2016

Neurourology and Urodynamics

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Section: Discussionmentioning

confidence: 99%

Diagnostic yield of cystoscopy in the evaluation of recurrent urinary tract infection in women

Pagano

Barbalat

Theofanides

et al. 2016

Neurourology and Urodynamics

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“…NICE have developed guidelines for the investigation of these symptoms in men [14]. A study of British men found that the incidence of bladder cancer in these patients was low (0.9%) [15]. …”

Section: Are There Gender Differences In Referral Patterns?mentioning

confidence: 99%

Closing the Gender Gap: Can We Improve Bladder Cancer Survival in Women? - A Systematic Review of Diagnosis, Treatment and Outcomes

Burge

Kockelbergh

2016

Urol Int

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Introduction: Despite recent attention, there are no gender specific guidelines to address the disparity in bladder cancer survival between the sexes. The focus of this review was to identify areas of clinical practice that may influence bladder cancer outcomes and to provide evidence-based recommendations to improve bladder cancer survival in women. Method: A systematic search of MEDLINE was conducted to identify studies related to referral, diagnosis, treatment and outcomes of patients with bladder cancer with particular reference to gender differences. Results: Patients' knowledge of key signs and symptoms of bladder cancer is poor. There is evidence that there is a gender difference in referral patterns both at patient and primary care level. The presence of cystits, in particular, delays referral. Treatment and surveillance of high-risk non-muscle invasive cancers is variable and non-urothelial bladder cancer, which has higher incidence in women is more likely to be treated non-operatively than urothelial bladder cancer. Conclusion: We have offered recommendations to improve patient education and streamline referrals and suggested considerations for treatment of high-risk cancers to help improve survival in female bladder cancer patients.

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“…In the mentioned study, cystoscopy was recommended for patients with profound lower urinary tract symptoms and recurrent UTI. In addition, the frequency of urinary tract disorders was significantly higher in males (17).…”

Section: Discussionmentioning

confidence: 90%

“…In another study by Howles et al, the diagnostic performance of flexible cystoscopy in patients with profound lower urinary tract symptoms, recurrent urinary tract infection, and pain were examined retrospectively (17). Thir-teen (11.5%) out of 113 patients had significant cystoscopy findings, including bladder cancer (1), urethral stricture (9), and intravesical calculi (4).…”

Section: Discussionmentioning

confidence: 99%

Cystoscopy Findings in Females with Recurrent Urinary Tract Infection

Daneshpajooh

Mirzaei

2018

Nephro-Urol Mon

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Objectives: Recurrent urinary tract infection is common in adult females. This study aimed at identifying lower urinary tract abnormalities in females with recurrent urinary tract infections based on cystoscopy findings and evaluating the diagnostic yield of cystoscopy in these patients. Methods: In this cross-sectional study, females (above 18 years) with recurrent urinary tract infection, who were referred to the urology clinic of Kerman University of Medical Sciences, Iran, in 2014 to 2016, were evaluated. After collecting demographic information, urine culture and urinary tract ultrasonography were performed for all patients; those with gross or microscopic hematuria, abnormality in imaging, neurogenic bladder, genitourinary cancer, and congenital urinary tract abnormality were excluded. Eligible patients underwent urethrocystoscopy, and the findings were recorded. Associations between clinical risk factors and abnormal findings were analyzed. Results: Of the 88 patients (mean age of 48 years), who underwent urethrocystoscopy, urinary tract abnormalities were reported in 36 (40.9%) patients, among whom 19 (21.5%) and 17 (19.4%) had clinically significant and non-significant abnormalities, respectively. Significant abnormalities included 14 cases of urethral stricture, one case of mesh erosion into the urethra, one case of periurethral gland abscess, two cases of bladder diverticulum, and one case of refluxing ureteral orifice. Conclusions: Although the majority of urinary tract abnormalities among females with recurrent urinary tract infection could be identified via imaging modalities, yet, it seems that cystoscopy is an appropriate method for the diagnosis of urinary tract disorders in some cases, especially in patients, who are unresponsive to common treatment strategies.

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Flexible Cystoscopy Findings in Patients Investigated for Profound Lower Urinary Tract Symptoms, Recurrent Urinary Tract Infection, and Pain

Cited by 11 publications

References 14 publications

Diagnostic yield of cystoscopy in the evaluation of recurrent urinary tract infection in women

Diagnostic yield of cystoscopy in the evaluation of recurrent urinary tract infection in women

Closing the Gender Gap: Can We Improve Bladder Cancer Survival in Women? - A Systematic Review of Diagnosis, Treatment and Outcomes

Cystoscopy Findings in Females with Recurrent Urinary Tract Infection

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