The diagnostic benefit of flexible cystoscopies in the investigation of recurrent urinary tract infections in women
BAUS ePoster online library. Ng A. 06/24/19; 259521; P3-7
Ms. Angela Ng
Ms. Angela Ng
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Background and purpose: To investigate the role of cystoscopy in the investigation of recurrent urinary tract infections in women.
Patients: All women undergoing flexible cystoscopy to investigate recurrent urinary tract infection (rUTI) over a 20-year period from January 1997 to January 2017.
A retrospective review of consecutive cases within a single institution was carried out. Female patients with a diagnosis of recurrent urinary tract infection who had a cystoscopy as part of their initial investigation were included.
2712 patients were identified. Of this, 223 patients (8.22%, mean 52 yrs; range 16-93yrs) hadan abnormality on flexible cystoscopy. The majority (n=195, 7.19%) had a urethral stenosis which require dilatation under local or general anaesthesia. Twelve patients (0.44%) were found to have an erythematous lesion (mean 64 yrs; range 45-78 yrs) which was proven non-malignant after biopsy. A further 12 patients with abnormalities were urethral diverticulum (n=6, 0.22%), bladder stones (n=3, 0.11%), foreign bodies in the bladder (n=2, 0.07%) and an urethral caruncle (n=1, 0.04%). Only 4 patients (0.15%) had malignant lesions, of which 3 were bladder TCC and 1 SCC. All 4 patients were 65 years and over.
Conclusion: Cystoscopy is not recommended in women under the age of 65 as a routine investigation for rUTI. The occurrence of malignant finding is rare in recurrent UTI patients, and cystoscopy should not be considered in those under 65 years of age unless other indications are present.
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