The Role of Cystoscopy for Patients with Lower Urinary Tract Symptoms (LUTS)

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Ali Hadi Sabhan


Cystoscopy; LUTS; BPH; TURBT; UUI


Background and objective: LUTS affect the quality of patient’s life from different aspects including social, physical and psychological with health cost impact. Cystoscopy is minimally invasive procedure that can be done in the office for the evaluation of the lower urinary tract. This study aimed to assess the role of cystoscopy for patients with lower urinary tract symptoms (LUTS) as a diagnostic tool when other investigational modalities are normal and its suitability for prompt intervention when possible.
Methods: The study was conducted at a single urology center through the period from January 2019 to March 2020 that includes 60 eligible patient with bothersome long-term lower urinary tract symptoms (LUTS) with normal initial investigations. Cystoscopy was done to all included patients, percentages of detected relevant findings and interventional procedures are determined.
Results: 60 patients were included in this study with a mean age of 38 years (32 male and 28 female) who underwent cystoscopy, positive findings was in 31 patients (51.6%), 20 male and 11 female. Clinically significant abnormalities were found in 14 patients (23.3 %) that includes: Urethral stricture (5%), intravesical calculi (6.6%), bladder tumor (5%), prostatic enlargement (3.3%), fistula (1.7%) and foreign body (1.7%). 14 patients (23.3 %) underwent concomitant cystoscopic interventional procedures doing in same time of examination. There was no significant difference between men and women with regard to the detected findings (P = 0.2).
Conclusion: Cystoscopy is a valuable diagnostic modality that achieve rapid completion of diagnostic workup, and allow some surgical intervention to be done more promptly. It can be consider as integral tool in the management of patients with LUTS.

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