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The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.

For the patients who visit outpatient clinics due to asymptomatic microscopic hematuria, cystoscopy has been looked upon as rather invasive compared to other diagnostic methods. We tried to elucidate the actual diagnostic value of cystoscopy in the initial evaluation of asymptomatic microscopic hema...

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Detalles Bibliográficos
Autores principales: Hong, S. K., Ahn, C., Kim, H. H.
Formato: Texto
Lenguaje:English
Publicado: Korean Academy of Medical Sciences 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054750/
https://www.ncbi.nlm.nih.gov/pubmed/11410691
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author Hong, S. K.
Ahn, C.
Kim, H. H.
author_facet Hong, S. K.
Ahn, C.
Kim, H. H.
author_sort Hong, S. K.
collection PubMed
description For the patients who visit outpatient clinics due to asymptomatic microscopic hematuria, cystoscopy has been looked upon as rather invasive compared to other diagnostic methods. We tried to elucidate the actual diagnostic value of cystoscopy in the initial evaluation of asymptomatic microscopic hematuria. We reviewed the results of cystoscopic examinations in 213 patients who visited our hospital due to asymptomatic microscopic hematuria. No definite lesion that could explain the microscopic hematuria was detected by means of IVP, urine cytology, and other nephrologic evaluations for all the patients. Among the abnormal cystoscopic findings in 55 patients, the lesions suspected to be directly related to microscopic hematuria were classified as 'significant lesions' (31 patients, 17.6%) which include entities such as bladder cancer (1.31%). 27 of 31 patients with significant lesions (85.2%) were over 50 yr old, and furthermore, 3 patients who were diagnosed as bladder tumor by cystoscopy were over 60 yr. Cystoscopy should be utilized as initial diagnostic modality in older patients with asymptomatic microscopic hematuria to rule out any possibility of bladder cancer occurrence. Further studies are needed to justify implementation of cystoscopy as an initial diagnostic modality in younger patients with asymptomatic microscopic hematuria.
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spelling pubmed-30547502011-03-15 The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria. Hong, S. K. Ahn, C. Kim, H. H. J Korean Med Sci Research Article For the patients who visit outpatient clinics due to asymptomatic microscopic hematuria, cystoscopy has been looked upon as rather invasive compared to other diagnostic methods. We tried to elucidate the actual diagnostic value of cystoscopy in the initial evaluation of asymptomatic microscopic hematuria. We reviewed the results of cystoscopic examinations in 213 patients who visited our hospital due to asymptomatic microscopic hematuria. No definite lesion that could explain the microscopic hematuria was detected by means of IVP, urine cytology, and other nephrologic evaluations for all the patients. Among the abnormal cystoscopic findings in 55 patients, the lesions suspected to be directly related to microscopic hematuria were classified as 'significant lesions' (31 patients, 17.6%) which include entities such as bladder cancer (1.31%). 27 of 31 patients with significant lesions (85.2%) were over 50 yr old, and furthermore, 3 patients who were diagnosed as bladder tumor by cystoscopy were over 60 yr. Cystoscopy should be utilized as initial diagnostic modality in older patients with asymptomatic microscopic hematuria to rule out any possibility of bladder cancer occurrence. Further studies are needed to justify implementation of cystoscopy as an initial diagnostic modality in younger patients with asymptomatic microscopic hematuria. Korean Academy of Medical Sciences 2001-06 /pmc/articles/PMC3054750/ /pubmed/11410691 Text en
spellingShingle Research Article
Hong, S. K.
Ahn, C.
Kim, H. H.
The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
title The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
title_full The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
title_fullStr The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
title_full_unstemmed The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
title_short The value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
title_sort value of cystoscopy as an initial diagnostic modality for asymptomatic microscopic hematuria.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054750/
https://www.ncbi.nlm.nih.gov/pubmed/11410691
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