A clear history of lower urinary tract haematuria does not always require extensive radiological investigation of the upper urinary tract
Author(s): Stewart H.; Abed O.; Wemyss-Holden G.; Srirangam S.
Source: Journal of Clinical Urology; Jun 2018; vol. 11 ; p. 66
Publication Date: Jun 2018
Publication Type(s): Conference Abstract
Abstract:Introduction: We investigated the incidence of upper urinary tract (UUT) abnormalities in males with initial and/or terminal visible haematuria (VH) suggesting a lower urinary tract (LUT) cause. Is extensive UUT imaging really necessary? Materials/Method: Two-armed (retrospective (n=419) and prospective (n=1173)) study of all consecutive male patients with VH over 5 years. All patients underwent flex-ible cystoscopy (FC) and UUT imaging (USS+/-IVU/CT urogram). Those with initial and/or terminal VH were scrutinised further. Results: 62/419 (14.8%) of patients in the retrospective group (R-G) and 183/1173 (15.6%) in the prospective group (P-G) presented with initial and/or terminal VH. In the R-G, FC revealed these LUT abnormalities: 4 bladder calculi; 3 bladder tumours; 1 urethral stricture. Only one UUT malignancy was identified (single case of renal cell carcinoma detected on USS and IVU).
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