Hematuria cytoscopy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Adnan Ezici, M.D[2] Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [3]

Overview

Cystoscopy may be helpful in the evaluation of the lower urinary tract to rule out cancer, especially bladder cancer, in patients with gross hematuria without another explanation.

Cystoscopy

Cystoscopy may be helpful in the evaluation of the lower urinary tract to rule out cancer (especially bladder cancer) in patients with gross hematuria without another explanation.[1] Initial diagnostic cystoscopy can be performed in the urologist's office using a flexible cystoscope under local anesthesia; this is a quick procedure that does not require sedation. Flexible cystoscopy has diagnostic accuracy equal or superior to rigid cystoscopy. Flexible cystoscopy is superior to rigid cystoscopy in the evaluation of the anterior bladder neck. However, if a lesion is detected that requires a biopsy, a rigid cystoscopy will be needed.[2]

References

  1. Ingelfinger JR (July 2021). "Hematuria in Adults". N Engl J Med. 385 (2): 153–163. doi:10.1056/NEJMra1604481. PMID 34233098 Check |pmid= value (help).
  2. Rew, Karl (2010). Primary care urology. Philadelphia, Pa. London: Saunders. ISBN 978-1437724899.

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