Value of urinary cytology in women presenting with urge incontinence and/or irritative voiding symptoms
- PMID: 8976229
Value of urinary cytology in women presenting with urge incontinence and/or irritative voiding symptoms
Abstract
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.
Comment in
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Considerations of surgery on the female and male urethra.J Urol. 1997 Jan;157(1):132-3. doi: 10.1016/s0022-5347(01)65305-9. J Urol. 1997. PMID: 8976234 No abstract available.
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