Screening Cystoscopy in Chronically Catheterized Spinal Cord Injury Patients

Yang, Claire C.; Clowers, Diane

doi:10.1097/00005392-199909010-00118

Cited by 5 publications

(13 citation statements)

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“…Of these, one had had a negative cystoscopy only four months prior, two had not met surveillance criteria, and one was being followed by another practitioner. From this, Yang and Clowers concluded that due to excessive costs and a low cancer detection rate, screening cystoscopy should not be recommended [43]. Hamid et al concurred with this conclusion several years later, after following 36 patients with suprapubic catheters with annual cystoscopy and detecting zero bladder tumors [44].…”

Section: Screeningmentioning

confidence: 97%

“…Additionally, there is the rare risk of bladder perforation, especially in augmented bladders. Several studies have concluded that using cystoscopy to screen NGB patients is not cost effective [11,[41][42][43][44]. In 1999, Yang and Clowers conducted a 6-year study in Seattle, in which screening cystoscopy of 59 patients of SCI patients yielded zero diagnoses of bladder cancer.…”

Section: Screeningmentioning

confidence: 99%

“…A screening test should reliably detect a pre-clinicial condition and allow the disease outcome to be positively influenced by the knowledge it provides. Limited data that early diagnosis and subsequent treatment even have an effect on morbidity and mortality of these possibly histologically aggressive preclinical conditions discourages using cystoscopy as a screening modality [43]. Finally, a recent analysis of screening protocols for malignancy in children with SB and augmentation using decision analysis demonstrated that annual cystoscopy and cytology is highly unlikely to be cost effective given the relatively low rates of cancer and large volume of screening examinations needed to detect a single malignancy [42].…”

Section: Screeningmentioning

confidence: 99%

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Risk of bladder cancer in patients with spina bifida: Case reports and review of the literature

Mirkin

Casey

Mukherjee

et al. 2013

Journal of Pediatric Rehabilitation Medicine

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PURPOSE: This article presents four cases of patients with spina bifida who developed bladder cancer while under our care and provides a literature review on the incidence, initial presentation, possible etiologies, and role for screening for bladder cancer in the neurogenic bladder population. METHODS: Case reports of four patients are presented followed by a literature review of the current available studies. RESULTS: Patients with spina bifida present with bladder cancer at an atypically young age with very advanced disease. The dire prognosis associated with bladder cancer in these patients demands that we provide better treatment, diagnosis, and prevention modalities. However, the potential morbidity, financial burden, and lack of proven benefit discourage cystoscopic screening in this patient population. Until we have more data on how to best serve spina bifida patients, this population should receive careful and regular urologic follow-up. CONCLUSION: Given the atypical young age of presentation and very advanced nature of bladder cancer in the spina bifida population, the authors strongly recommend that any new bladder changes, such as including increased urinary leakage, pain, recurrent infections, or increased gross hematuria, prompt immediate urologic referral for endoscopic evaluation and biopsy as indicated.

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Section: Screeningmentioning

confidence: 97%

Section: Screeningmentioning

confidence: 99%

Section: Screeningmentioning

confidence: 99%

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Risk of bladder cancer in patients with spina bifida: Case reports and review of the literature

Mirkin

Casey

Mukherjee

et al. 2013

Journal of Pediatric Rehabilitation Medicine

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“…These patients have been known to have an increased risk of bladder cancer which peaks at 20-30 years after their injury [38]. There have been multiple studies evaluating the value of screening cystoscopy in these patients and none have shown a definitive advantage [39][40][41], though one study showed a trend toward lower stage tumors in patients that underwent screening [41]. More important than screening programs is patient and clinician education about this problem.…”

Section: Bladder Cancermentioning

confidence: 99%

Long-term risks of bladder augmentation in pediatric patients

Austin

2008

Current Opinion in Urology

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Bladder augmentation is associated with a number of potential long-term risks, including a high risk of needing further surgery and development of serious complications such as bowel obstruction or bladder perforation. Bladder stones continue to be common in patients after bladder augmentation. Multiple cases of bladder cancer have been reported recently in young adults with a history of bladder augmentation in childhood and reinforce the need for lifelong follow up for these patients. Future studies will hopefully define the benefits and role of cancer surveillance for these patients.

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“…Plusieurs études analysant l'expérience d'un suivi systématique de patients et/ou de groupes à risque (fumeurs, ancienneté de la lésion neurologique, infections chroniques...) rapportent des résultats décevants [85,86]. On peut même souligner dans ces publications que les patients non suivis de façon systématique avaient des tumeurs moins avancées lors du diagnostic que les patients suivis systématiquement...…”

Section: Facteurs De Risque De Tumeur De Vessieunclassified

Suivi des vessies neurologiques du blessé médullaire et du patient porteur d'une myéloméningocèle Revue de la littérature et recommandations pratiques de suivi

Ruffion¹,

Sèze

Denys

et al. 2006

Pelv Perineol

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L'évolution des patients blessés médullaires (BM) ou porteurs d'une myéloméningocèle (MM) s'est profondément transformée au cours des soixante derniè-res années. Leur espérance de vie s'est considérablement accrue, jusqu'à approcher celle de la population générale. La pathologie urologique reste cependant une des plus grandes pourvoyeuses de morbi-mortalité dans cette population de patients. Dans un premier temps, nous avons souhaité, à travers une revue de la littérature, réactualiser les données épidémiologiques concernant les différentes facettes des pathologies urinaires susceptibles d'être observées chez ces patients. Ce travail s'est accompagné d'une réflexion sur la validité et la pertinence des examens complémentaires proposés dans le diagnostic de ces pathologies. À partir de ces données, nous avons dressé un cahier des charges du suivi neurourologique de ces patients.Mots clés : Vessie neurologique -Blessé médullaire -Myéloméningocèle -Pronostic uronéphrologique Care of neurogenic bladder in spinal cord injured patients and patients with myelomeningocele: Review of the literature and therapeutic recommendationsAbstract: The clinical course of spinal cord injured patients and those with myelomeningocele (MM) has radically changed over the last 60 years. Life expectancy has been significantly extended and is approaching that of the general population. Urologic disease remains, nonetheless, one of the most predictive factors of morbidity and mortality in this patient population. As a first step, we carried out a literature review in an effort to update the epidemiological data concerning the various aspects of urinary disorders observed in these patients. This paper also discusses the validity and appropriateness of additional diagnostic screening procedures for these disorders. Based on this data, we have created clinical guidelines for the neurological and urologic care of these patients.

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Screening Cystoscopy in Chronically Catheterized Spinal Cord Injury Patients

Cited by 5 publications

References 0 publications

Risk of bladder cancer in patients with spina bifida: Case reports and review of the literature

Risk of bladder cancer in patients with spina bifida: Case reports and review of the literature

Long-term risks of bladder augmentation in pediatric patients

Suivi des vessies neurologiques du blessé médullaire et du patient porteur d'une myéloméningocèle Revue de la littérature et recommandations pratiques de suivi

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