Objective: When first diagnosed, bladder tumors are superficial one in the proportion of 70%. These superficial tumors have tendency of recurrence. In order to be able to detect the recurrence which will occur in patients, it is ne-cessary to pursue with cystoscopy, an invasive process in certain periods. Instead of this inva-sive process, we aimed to investigate the use of urinary USG along with cytology.
Material and Methods: The approvals were taken after informing patients. The patients who had urinary infections, urethral catheter, chemotherapy, immunotherapy, radiotherapy, active prostate cancer and endoscopic or sur-gery procedures for urinary system were not included in this study.
The cytology samples which obtained by spontaneous miction in the clinical condition and from bladder washing water in the surgery condition before cystoscopy were sent. And also, the bladders were evaluated by Urinary System USG in clinical condition before cystos-copy.
It was provided that the Uriner System USG was applied to all the patients by same surgeon by keeping same optimum condition.
The ROC statistical method was used to evaluate performance of survey test and if the p value was p < 0.05, the differences were accep-ted statistically significant.
Results: The average age of the 296 patients diagnosed bladder tumor was 65,9±14,8 years. Follow-up time after transurethral resection was 3-39 months.
Positive result was obtained in 62% of the patients by means of cytologic examination (20%). In the urinary USG, 98 of the patients (33%) had lesions. As a result of the use of both parameters, the results in 83 patients (28%) were evaluated as positive.
As a result of a binary comparison of diagnostic tests, between urinary cytology and USG was found to be a significant difference. In addition, there was a significant difference between using cyto-logy and urinary system ultrasound combined use. But, we identifi-ed that there was no a significant difference between using urinary system ultrasound and cytology and urinary system ultrasound combined use.
Conclusions: In the patients whom cystoscopy wasn’t made for any reasons, we think that USG and cytology could be used the reason for high reliability and low error shape
Key Words: Bladder Tumor, cytology, cystoscopy, urinary system ultrasonograpy
Abstract
Objective: When first diagnosed, bladder tumors are superficial one in the proportion of 70%. These superficial tumors have tendency of recurrence. In order to be able to detect the recurrence which will occur in patients, it is ne-cessary to pursue with cystoscopy, an invasive process in certain periods. Instead of this inva-sive process, we aimed to investigate the use of urinary USG along with cytology.
Material and Methods: The approvals were taken after informing patients. The patients who had urinary infections, urethral catheter, chemotherapy, immunotherapy, radiotherapy, active prostate cancer and endoscopic or sur-gery procedures for urinary system were not included in this study.
The cytology samples which obtained by spontaneous miction in the clinical condition and from bladder washing water in the surgery condition before cystoscopy were sent. And also, the bladders were evaluated by Urinary System USG in clinical condition before cystos-copy.
It was provided that the Uriner System USG was applied to all the patients by same surgeon by keeping same optimum condition.
The ROC statistical method was used to evaluate performance of survey test and if the p value was p < 0.05, the differences were accep-ted statistically significant.
Results: The average age of the 296 patients diagnosed bladder tumor was 65,9±14,8 years. Follow-up time after transurethral resection was 3-39 months.
Positive result was obtained in 62% of the patients by means of cytologic examination (20%). In the urinary USG, 98 of the patients (33%) had lesions. As a result of the use of both parameters, the results in 83 patients (28%) were evaluated as positive.
As a result of a binary comparison of diagnostic tests, between urinary cytology and USG was found to be a significant difference. In addition, there was a significant difference between using cyto-logy and urinary system ultrasound combined use. But, we identifi-ed that there was no a significant difference between using urinary system ultrasound and cytology and urinary system ultrasound combined use.
Conclusions: In the patients whom cystoscopy wasn’t made for any reasons, we think that USG and cytology could be used the reason for high reliability and low error shape
Key Words: Bladder Tumor, cytology, cystoscopy, urinary system ultrasonograpy