Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1398
6
1
gregorian
2019
9
1
10
4
online
1
fulltext
en
Comparison of bladder ultrasonographic and rigid cystoscopic findings in patients with hematuria
Internal
Internal
Original Article
Original Article
<span style="font-size: 14px;"><span style="font-family: times new roman;"><span style="color: rgb(0, 0, 255);"><strong><em>Background</em></strong><em>:</em></span> Bladder cancer ranks ninth in world-wide cancer incidence and is 2.5-4 times more common in men, and painless gross hematuria is its typical clinical symptom. Cystoscopy is used to evaluate the cause of hematuria in bladder while the use and reliability of ultrasonography is questionable for this purpose. Therefore, the aim of this study was to compare abdominal ultrasonography and rigid cystoscopy in the diagnosis of bladder tumors in Babol Shahid Beheshti Hospital.<br>
<span style="color: rgb(0, 0, 255);"><strong><em>Methods</em></strong><em>:</em></span> In this cross-sectional study, 60 patients who were candidate for cystoscopy referred to Babol Shahid Beheshti Hospital in Iran in 2017-2018. In this study, rigid cystoscope was used to view the bladder after doing sonography. The numbers, demographic information (age, gender and residence) and clinical characteristics (indication of cystoscopy, history of chronic disease, sonographic and cystoscopic results) of patients were recorded in the checklist.<br>
<span style="color: rgb(0, 0, 255);"><strong><em>Results</em></strong><em>:</em></span> The mean age of patients (37 (61.7%)=males) was 58.65±14.26 (19-85) years and 48 (80%) of them were >50 years old. The sensitivity and specificity of sonography was 71.43 (95% CI: 29.4, 96.33) and 96.23% (95% CI: 87.02, 99.54) in detecting bladder tumors, respectively. The negative predictive and positive predictive values in sonography were 96.23 (95% CI: 88.76, 98.8) and 71.43% (95% CI: 37.25, 91.33) respectively.<br>
<span style="color: rgb(0, 0, 255);"><strong><em>Conclusion</em></strong><em>:</em></span> The results of this study indicate that since sonography has high negative predictive values in evaluating hematuria; therefore it can be replaced with rigid cystoscopy for patients with lower risk of malignancy.</span></span><br>
Sonography, Cystoscopy, Hematuria, Prostate, Bladder
417
423
http://caspjim.com/browse.php?a_code=A-10-457-1&slc_lang=en&sid=1
Mehrdad
Mostafalo
emadmoudi@gmail.com
100319475328460018836
100319475328460018836
No
Student Research Committee, Babol University of Medical Sciences, Babol, IR. Iran
Naser
Ghaemiyam
nghaemian@yahoo.com
100319475328460018837
100319475328460018837
No
Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran
Karimollah
Hajian-Tilaki
drhajian@yahoo.com
100319475328460018838
100319475328460018838
No
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Emadodin
Moudi
emadmoudi@gmail.com
100319475328460018839
100319475328460018839
Yes
Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran