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Screening cystoscopy and biopsy in patients with neuropathic bladder and chronic suprapubic indwelling catheters: is it valid?
J Urol ; 170(2 Pt 1): 425-7, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12853791
ABSTRACT

PURPOSE:

Screening for bladder malignancy in patients with neuropathic bladder and a chronic indwelling catheter by cystoscopy and biopsy is commonly performed. Despite this practice the test has not been fully validated to date. We analyzed our experience with this screening test and explored its validity when applied to our patients. MATERIALS AND

METHODS:

We performed a retrospective analysis of screening biopsies in 36 patients with neuropathic bladder and a chronic indwelling catheter who had undergone yearly screening from 5 years after catheter insertion. Mean time since suprapubic catheter insertion was 12.1 years (range 8.7 to 23.8).

RESULTS:

No tumors were ever identified in our screened group. However, histological findings were frequently abnormal, of which the most common are active chronic cystitis and squamous metaplasia.

CONCLUSIONS:

Our study reinforces the increasing body of evidence suggesting that screening cystoscopy and biopsy in this group of patients is not valid. As a screening test, it fulfils few of the necessary criteria.
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Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Biópsia por Agulha / Neoplasias da Bexiga Urinária / Bexiga Urinaria Neurogênica / Cateterismo Urinário / Cateteres de Demora / Cistoscopia Tipo de estudo: Screening_studies Aspecto clínico: Diagnóstico Limite: Adulto / Idoso / Feminino / Humanos / Masculino / Meia-Idade Idioma: Inglês Revista: J Urol Ano de publicação: 2003 Tipo de documento: Artigo País de afiliação: Reino Unido