Value of urinary cytology in women presenting with urge incontinence and/or irritative voiding symptoms. 1997

K E Duldulao, and A C Diokno, and B Mitchell
Department of Urology, William Beaumont Hospital, Royal Oak, Michigan, USA.

OBJECTIVE A retrospective study was done to determine whether voided urinary cytology was necessary in women with irritative voiding symptoms without hematuria. METHODS A total of 202 cytology studies was obtained from 128 women presenting with urge incontinence and/or irritative voiding symptoms between 1990 and 1995. RESULTS Five patients with irritative symptoms and hematuria were diagnosed with transitional cell carcinoma. Cytology was positive in 3 patients, atypical in 1 and normal in 1. No positive cytology studies or carcinomas were noted in patients without hematuria. Urinary tract carcinoma was confirmed by cystoscopy and biopsy if necessary. CONCLUSIONS The benefits of cytology for patients without hematuria are questioned in the cost-effective treatment of female patients with irritative bladder symptoms.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006417 Hematuria Presence of blood in the urine. Hematurias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D014549 Urinary Incontinence Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE. Incontinence, Urinary

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