Sajid Muhammad Ali, Khurshid Hana, Saeed Mobasher, Salahuddin Omer
Department of Urology, Wah Medical College, Wah Cantt.
Department of Anesthesia, Wah Medical College, Wah Cantt.
J Pak Med Assoc. 2015 Mar;65(3):253-5.
To assess the role of flexible cystoscopy in the diagnosis of lower urinary tract pathologies and its suitability as a routine diagnostic protocol in outdoor patients.
The quasi-experimental study was conducted at the Urology Department, Pakistan Ordinance Factory Hospital, Wah Cantt., from June 2009 to June 2010. All adult patients presenting with lower urinary tract symptoms to outdoor department were included on the basis of universal non-probability sampling technique. Cystoscopy was performed as a clinic-based procedure without sedation. SPSS 17 was used for data analysis.
Of the 1500 patients in the study, 810(54%) were females and 690(46%) were male. Lower urinary tract pathologies were found in 480(32%) patients. The most common pathology among males was enlarged prostate in 127(8.4%) patients. Among females, urethral stenosis was the most common pathology in 57(3.8%) patients. Transitional cell carcinoma was seen in 57(3.8%) patients having haematuria with inconclusive ultrasound and intravenous urography. All patients tolerated the procedure well.
Flexible cystoscopy is an effective, well-tolerated and easy way of detecting lower urinary tract pathologies among outpatients.
评估软性膀胱镜检查在诊断下尿路疾病中的作用及其作为门诊患者常规诊断方案的适用性。
这项准实验研究于2009年6月至2010年6月在瓦赫坎特巴基斯坦 Ordnance Factory医院泌尿外科进行。采用通用非概率抽样技术，纳入所有向下尿路门诊就诊的成年患者。膀胱镜检查作为一种在门诊进行的操作，不使用镇静剂。使用SPSS 17进行数据分析。
研究中的1500名患者中，810名（54%）为女性，690名（46%）为男性。480名（32%）患者发现有下尿路疾病。男性中最常见的疾病是前列腺增生，有127名（8.4%）患者。女性中，尿道狭窄是最常见的疾病，有57名（3.8%）患者。57名（3.8%）有血尿且超声和静脉肾盂造影结果不明确的患者被诊断为移行细胞癌。所有患者对该操作耐受性良好。
软性膀胱镜检查是一种在门诊患者中检测下尿路疾病的有效、耐受性良好且简便的方法。
