IJAR - Indian Journal of Applied Research

Dr. Pankaj kumar; Dr. Rakesh kumar; Dr. J. P. Sinha; Dr. Omprakash Bharti

Volume : V, Issue : XII, December - 2015

RETROSPECTIVE STUDY OF CYSTOSCOPIC DIAGNOSIS AND CLINICAL IMPORTANCE OF RED PATCHES IN CASES OF HEMATURIA AND LOWER URINARY TRACT SYMPTOMS

Dr. Pankaj Kumar, Dr. Rakesh Kumar, Dr. J. P. Sinha, Dr. Omprakash Bharti

Abstract :

Background –Cystoscopy is a common procedure done for symptomatic hematuria and red patches are common finding. Biopsy is done routinely to diagnose sinister diagnosis of carcinoma –in– situ among other causes. Objective – To analyze and diagnose pathology of red patches and to determine whether routine biopsy should be done during cystoscopy. Material and method – this was a retrospective study done in 24 months and included total 54 patients underwent cystoscopic biopsy of red patches. Patients had history of carcinoma urinary bladder or gross tumors were excluded from this study. RESULT – out of 54 patients28 had biopsy for lower urinary tract symptoms 22 had for hematuria and 04 for urinary tract infection.Mean age was 56.8 years and carcinoma in situ was present in 4 patients (7%) although urine cytology was positive only for 1 patient. CONCLUSION – Biopsy of all red patches should be done to rule out carcinoma–in–situ during cystoscopy. This may also detects other pathology, which plays a major role for further management.