Role of Flexible Cystoscopy and Ultrasound Together in the Detection of Recurrent Superficial Bladder Tumors; A Comparison With Rigid Cystoscopy

Authors

  • Md Moynul Hoque Chowdhury Assistant Registrar of Urology, NIKDU, Dhaka, Bangladesh
  • Md Waliul Islam Associate Professor of Urology, NIKDU, Dhaka, Bangladesh
  • Md Shawkat Alam Associate Professor of Urology, NIKDU, Dhaka, Bangladesh
  • Anup Roy Chowdhury Assistant Registrar of Urology, NIKDU, Dhaka, Bangladesh
  • Md Latifur Rahman Miah Assistant Professor of Urology, NIKDU, Dhaka, Bangladesh
  • Shahariar Md Kabir Hasan Assistant Registrar of Urology, NIKDU, Dhaka, Bangladesh
  • Md Shariful Islam Khan Assistant Registrar of Urology, NIKDU, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bju.v22i1.50075

Keywords:

USG, flexible cystoscopy, rigid cystoscopy and recurrent superficial bladder

Abstract

Objective: To evaluate the role of flexible cystoscopy and ultrasound together in thedetection of recurrent superficial bladder tumors

Method: This hospital based prospective comparative study was carried out in theDepartment of Urology, National Institute of Kidney Diseases and Urology, Sher-E-Banglanagar, Dhaka from January 2013 to June 2014. A total of 85 patients of post transurethralresection (TUR) and post chemotherapy state for superficial bladder tumors were includedin this study. Transabdominal ultrasonography of the bladder was performed for all casesby a consultant radiologist. Flexible cystoscopy was performed by a trained urologist forall. Finally conventional rigid cystoscopy with or without biopsy was performed at thesame setting to confirmed the findings.

Result:The mean age was found 62.9±9.7 years with range from 41 to 80 years. Majority(82.4%) patients were male and 15(17.6%) patients were female. Male female ratio was4.7:1. It was observed that majority (54.1%) patients was found pT1 stage and 39(45.9%)was pTa stage. It was observed that more than two third (67.1%) patients had grade-Iand 28(32.9%) had grade-II.Sensitivity, specificity, accuracy, positive and negativepredictive values of combine USG and flexible cystoscopy for identification of recurrenttumors were 92.7%, 33.3%, 90.6%, 97.4% and 14.3%.

Conclusion: Ultrasonography and flexible cytoscopy together can detect recurrentsuperficial bladder tumors as accurate as conventional rigid cytoscopy.

Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.41-46

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Published

2020-11-02

How to Cite

Chowdhury, M. M. H., Islam, M. W., Alam, M. S., Chowdhury, A. R., Miah, M. L. R., Hasan, S. M. K., & Khan, M. S. I. (2020). Role of Flexible Cystoscopy and Ultrasound Together in the Detection of Recurrent Superficial Bladder Tumors; A Comparison With Rigid Cystoscopy. Bangladesh Journal of Urology, 22(1), 41–46. https://doi.org/10.3329/bju.v22i1.50075

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Original Articles