The diagnostic benefit of flexible cystoscopies in the investigation of recurrent urinary tract infections in women
BAUS ePoster online library. Ng A. Jun 24, 2019; 259521; P3-7
Ms. Angela Ng
Ms. Angela Ng
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
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.
METHODS:
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.
RESULTS:
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.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings