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Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis
PURPOSE: Bladder endometriosis (BE) accounts for 84% of cases of urinary tract involvement. The use of cystoscopy for preoperative evaluation is limited. The aim of this study was to evaluate the accuracy of preoperative dynamic cystoscopy (DC) in patients undergoing surgery for deep endometriosis a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247236/ https://www.ncbi.nlm.nih.gov/pubmed/36638147 http://dx.doi.org/10.1590/S1677-5538.IBJU.2022.0594 |
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author | da Silva, Fernando Salles Favorito, Luciano Alves Crispi, Claúdio Peixoto Fonseca, Marlon de Freitas de Resende, José Anacleto |
author_facet | da Silva, Fernando Salles Favorito, Luciano Alves Crispi, Claúdio Peixoto Fonseca, Marlon de Freitas de Resende, José Anacleto |
author_sort | da Silva, Fernando Salles |
collection | PubMed |
description | PURPOSE: Bladder endometriosis (BE) accounts for 84% of cases of urinary tract involvement. The use of cystoscopy for preoperative evaluation is limited. The aim of this study was to evaluate the accuracy of preoperative dynamic cystoscopy (DC) in patients undergoing surgery for deep endometriosis and to describe the main findings and their impact on surgical planning. MATERIALS AND METHODS: This cross-sectional observational study was conducted from January 2011 to March 2022. DC findings were divided into two groups according to the depth of involvement. To estimate sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), laparoscopic findings of bladder involvement and histopathological report were used as the gold standard. RESULTS: We included 157 patients in this study. 41 had abnormalities in DC. Of these, 39 had abnormalities that were confirmed intraoperatively. The sensitivity and specificity of the test were 58.21% and 97.78%, respectively. PPV was 95.12%, and NPV was 75.86%. The presence of any lesions in the DC had a diagnostic odds ratio (OR) of 61.28 for BE. Patients with BE type 2 had a higher rate of partial cystectomy than those with BE type 1 lesions (OR 9.72 CI 95% 1.9-49.1) CONCLUSION: DC appears to be a highly specific test with lower sensitivity. DC abnormalities are associated with a higher ratio of bladder surgery for the treatment of deep endometriosis, and BE type 2 seems to be associated with a greater ratio (9.72) of partial cystectomy. |
format | Online Article Text |
id | pubmed-10247236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-102472362023-06-08 Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis da Silva, Fernando Salles Favorito, Luciano Alves Crispi, Claúdio Peixoto Fonseca, Marlon de Freitas de Resende, José Anacleto Int Braz J Urol Original Article PURPOSE: Bladder endometriosis (BE) accounts for 84% of cases of urinary tract involvement. The use of cystoscopy for preoperative evaluation is limited. The aim of this study was to evaluate the accuracy of preoperative dynamic cystoscopy (DC) in patients undergoing surgery for deep endometriosis and to describe the main findings and their impact on surgical planning. MATERIALS AND METHODS: This cross-sectional observational study was conducted from January 2011 to March 2022. DC findings were divided into two groups according to the depth of involvement. To estimate sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), laparoscopic findings of bladder involvement and histopathological report were used as the gold standard. RESULTS: We included 157 patients in this study. 41 had abnormalities in DC. Of these, 39 had abnormalities that were confirmed intraoperatively. The sensitivity and specificity of the test were 58.21% and 97.78%, respectively. PPV was 95.12%, and NPV was 75.86%. The presence of any lesions in the DC had a diagnostic odds ratio (OR) of 61.28 for BE. Patients with BE type 2 had a higher rate of partial cystectomy than those with BE type 1 lesions (OR 9.72 CI 95% 1.9-49.1) CONCLUSION: DC appears to be a highly specific test with lower sensitivity. DC abnormalities are associated with a higher ratio of bladder surgery for the treatment of deep endometriosis, and BE type 2 seems to be associated with a greater ratio (9.72) of partial cystectomy. Sociedade Brasileira de Urologia 2023-05-29 /pmc/articles/PMC10247236/ /pubmed/36638147 http://dx.doi.org/10.1590/S1677-5538.IBJU.2022.0594 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article da Silva, Fernando Salles Favorito, Luciano Alves Crispi, Claúdio Peixoto Fonseca, Marlon de Freitas de Resende, José Anacleto Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
title | Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
title_full | Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
title_fullStr | Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
title_full_unstemmed | Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
title_short | Dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
title_sort | dynamic cystoscopy to optimize preoperative assessment of bladder endometriosis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247236/ https://www.ncbi.nlm.nih.gov/pubmed/36638147 http://dx.doi.org/10.1590/S1677-5538.IBJU.2022.0594 |
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