The Role of Cystoscopy for Patients with Lower Urinary Tract Symptoms (LUTS)
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Keywords
Cystoscopy; LUTS; BPH; TURBT; UUI
Abstract
Background and objective: LUTS affect the quality of patient’s life from different aspects including social, physical and psychological with health cost impact. Cystoscopy is minimally invasive procedure that can be done in the office for the evaluation of the lower urinary tract. This study aimed to assess the role of cystoscopy for patients with lower urinary tract symptoms (LUTS) as a diagnostic tool when other investigational modalities are normal and its suitability for prompt intervention when possible.
Methods: The study was conducted at a single urology center through the period from January 2019 to March 2020 that includes 60 eligible patient with bothersome long-term lower urinary tract symptoms (LUTS) with normal initial investigations. Cystoscopy was done to all included patients, percentages of detected relevant findings and interventional procedures are determined.
Results: 60 patients were included in this study with a mean age of 38 years (32 male and 28 female) who underwent cystoscopy, positive findings was in 31 patients (51.6%), 20 male and 11 female. Clinically significant abnormalities were found in 14 patients (23.3 %) that includes: Urethral stricture (5%), intravesical calculi (6.6%), bladder tumor (5%), prostatic enlargement (3.3%), fistula (1.7%) and foreign body (1.7%). 14 patients (23.3 %) underwent concomitant cystoscopic interventional procedures doing in same time of examination. There was no significant difference between men and women with regard to the detected findings (P = 0.2).
Conclusion: Cystoscopy is a valuable diagnostic modality that achieve rapid completion of diagnostic workup, and allow some surgical intervention to be done more promptly. It can be consider as integral tool in the management of patients with LUTS.
References
2. Abrams P. New words for old: lower urinary tract symptoms for "prostatism". BMJ (Clinical research ed. 1994 Apr 9;308 (6934):929-30.
3. Anna Lena Wennberg, Ulla Molander, Magnus Fall, Christer Edlund, Ralph Peeker and Ian Milsom. Longitudinal population-based survey of urinary incontinence, overactive bladder and other lower urinary tract symptoms in women. Eur Urol 2009;55(4):783-791.
4. Jerry G. Blaivas, Johnson F. Tsui . Male lower urinary tract symptoms: The role of urodynamics. Urological Science . 2012 ; 23 : 18-25.
5. D. De Ridder, T. Roumegu_ere, L. Kaufman, Urgency and other lower urinary tract symptoms in men aged 6. Oelke M, Bachmann A, Descazeaud A, Emberton M, Gravas S, Michel MC, et al. Guidelines on the management of male lower urinary tract symptoms (LUTS), including benign prostatic obstruction (BPO). In: EAU guidelines, edition presented at the 27th EAU Annual Congress, Paris 2012; 2012.
7. Robertson C, Link CL, Onel E, Mazzetta C, Keech M, Hobbs R, et al. The impact of lower urinary tract symptoms and comorbidities on quality of life: the BACH and UREPIK studies. BJU Int 2007;99:347e54.
8. P. Abrams, C. D'ANcona, D. Griffi ths, et al. Lower urinary tract symptom: etiology, patient assessment and predicting outcome from therapy. In: J.D. McConnell, P. Abrams, L. Denis, S. Khoury, C.G. Roehrborn (Eds.), 6th International Consultation on New Developments, (n.d.).
9. Takeda M, Araki I, Kamiyama M, et al. Diagnosis and treatment of voiding symptoms. Urology 2003; 62:11-9.
10. Moreno E, Andreu A, Perez T, et al. Relationship between Escherichia coli strains causing urinary tract infection in women and the dominant faecal flora of the same hosts. Epidemiol Infect 2006; 134(5):1015–23.
11. Irwin DE, Milsom I, Kopp Z, et al. Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries. BJU Int. 2006;97:96–100. I. Shoukry, J.G. Susset, M.M. Elhilali, D. Dutartre, Role of uroflowmetry in the assessment of lower urinary tract obstruction in adult males, Br. J. Urol. 47 (1975) 559-566.
12. Lawrentschuk N, Ooi J, Pang A, et al. Cystoscopy in women with recurrent urinary tract infection. Int J Urol 2006;13: 350–353.
13. van Haarst EP, van Andel G, Heldeweg EA. Evaluation of diagnostic workup in young women reffered for recurrent urinary tract infections. Urolog. 2001;57:1068 72.
14. Kumar V, Patel HR, Nathan SM, Miller RA, Lawson AH. Do we need to perform cystoscopy on all adults attending urology centres as outpatients? Urol Int. 2004;73(3):198–200.
15. Kadi N, Menezes P. ABC of flexible cystoscopy for junior trainee and general practitioner. Int J Gen Med 2011; 4: 593-6
16. Wein MD, PhD, FACS, Alan. "Principles of Endoscopy." Campbell-Walsh Urology tenth edition. Philadelphia, PA: Elsevier/Saunders, 2012.
17. McAninch, Jack W. "Retrograde Instrumentation of the Urinary Tract." Smith and Tanagho's general urology editors, Jack W. McAninch, Thomas F. Lue. 18th Ed. New York: McGraw-Hill Professional, 2013.
18. Muhammad A, Hana K, Mobasher S, Omer S. Flexible cystoscopy a valuable diagnostic tool for lower urinary tract pathology. Journal of the Pakistan Medical Association · March 2015.
19. Howles S, Tempest H, Doolub G, Bryant RJ, Hamdy FC, Noble JG, et al. Flexible cystoscopy findings in patients investigated for profound lower urinary tract symptoms, recurrent urinary tract infection, and pain. J Endourol. 2012;26(11):1468 72.
20. Khadra MH, Pickard RS, Charlton M, Powell PH, Neal DE. A prospective analysis of 1,930 patients with haematuria to evaluate current diagnostic practice. J Urol 2000; 163: 524-7.
21. Young M, Martínez S, Del Rosario J, Anguizola C. [Bladder endoscopy (cystoscopy): indications and most frequent findings at the Metropolitan Hospital Complex of the Social Security Fund of Panama, 1997]. Rev Med Panama 1998; 23: 20-3.
22. Cho KS, Kim J, Choi YD, Kim JH, Hong SJ. The overlooked cause of benign prostatic hyperplasia: prostatic urethral angulation. Med Hypotheses 2008;70:532e5.
23. Ku JH, Ko DW, Cho JY, Oh SJ. Correlation between prostatic urethral angle and bladder outlet obstruction index in patients with lower urinary tract symptoms. Urology 2010;75: 1467e71.
24. Park YJ, Bae KH, Jin BS, Jung HJ, Park JS. Is increased prostatic urethral angle related to lower urinary tract symptoms in males with benign prostatic hyperplasia/lower urinary tract symptoms? Korean J Urol 2012;53:410e3.
25. C.R. Chapple, C.G. Roehrborn, A shifted paradigm for the further understanding ,evaluation, and treatment of lower urinary tract symptoms in men : focus on the bladder, Eur. Urol. 49 (2006) 651-658, j.eururo.2006.02.018.
26. AUA guideline on management of benign prostatic hyperplasia (2003). Chapter 1: diagnosis and treatment recommendations. J Urol 2003;170:530e47.
27. ZADEH, Firoozeh Abolhasani, et al. Cytotoxicity evaluation of environmentally friendly synthesis Copper/Zinc bimetallic nanoparticles on MCF-7 cancer cells. Rendiconti Lincei. Scienze Fisiche e Naturali, 2022, 1-7.
28. ROHMAH, Martina Kurnia, et al. Modulatory role of dietary curcumin and resveratrol on growth performance, serum immunity responses, mucus enzymes activity, antioxidant capacity and serum and mucus biochemicals in the common carp, Cyprinus carpio exposed to abamectin. Fish & Shellfish Immunology, 2022, 129: 221-230.
29. ARIF, Anam, et al. The functions and molecular mechanisms of Tribbles homolog 3 (TRIB3) implicated in the pathophysiology of cancer. International Immunopharmacology, 2023, 114: 109581.
30. MARGIANA, Ria, et al. Functions andtherapeutic interventions of non-coding RNAs associated with TLR signaling pathway in atherosclerosis. Cellular Signalling, 2022, 100: 110471.
31. H. A. Al-Hchaimi, M. F. Alhamaidah, H. Alkhfaji, M. T. Qasim, A. H. Al-Nussairi and H. S. Abd-Alzahra, "Intraoperative Fluid Management for Major Neurosurgery: Narrative study," 2022 International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT), 2022, pp. 311-314, doi: 10.1109/ISMSIT56059.2022.9932659.
32. MOHAMMED, Zainab; QASIM, Maytham T. The Relationship between Insulin Resistance and Hypertension in Patient with Hypertensive. HIV Nursing, 2022, 22.2: 1659–1663-1659–1663.
33. LEI, Zimeng, et al. Detection of abemaciclib, an anti-breast cancer agent, using a new electrochemical DNA biosensor. Frontiers in Chemistry, 2022, 10.
34. BASHAR, Bashar S., et al. Application of novel Fe3O4/Zn-metal organic framework magnetic nanostructures as an antimicrobial agent and magnetic nanocatalyst in the synthesis of heterocyclic compounds. Frontiers in Chemistry, 2022, 10.
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