Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/10161
Title: Cystoscopy in women with recurrent urinary tract infection.
Authors: Lawrentschuk, Nathan;Ooi, Jason;Pang, Anna;Naidu, Krishant S;Bolton, Damien M
Affiliation: University of Melbourne, Department of Surgery, Austin Health, Melbourne, Australia. nayjay@ozemail.com.au
Issue Date: 1-Apr-2006
Citation: International Journal of Urology : Official Journal of the Japanese Urological Association; 13(4): 350-3
Abstract: To investigate if women with recurrent urinary tract infection (UTI) warrant cystoscopy to exclude an abnormality of the lower urinary tract. This is particularly relevant given that non-invasive imaging has often been performed to exclude abnormality. Our further aims were to correlate imaging and risk factors with cystoscopic findings to determine their predictive value in finding pathology.A database of women undergoing cystoscopy with recurrent UTI has been maintained at our institution for 10 years. We retrospectively examined this and patient records for patient demographics, and investigative and operative data.A total of 118 patients (mean 55 years) having recurrent UTI (mean 4.7 infections/year) were available. There were nine patients (8%) with significant abnormalities at cystoscopy: urethral stricture (six), bladder calculus (one), bladder diverticulum (one) and colovesical fistula (one). The negative predictive value (NPV) of imaging was 99% and significant (P < 0.01). Women with no risk factors for UTI had a NPV of 93% for normal cystoscopy (P > 0.05). The positive predictive value was low for imaging and risk factors in predicting cystoscopy findings.In our study, 8% of women had significant abnormalities detected during cystoscopy with most over 50 years. Women without risk factors for recurrent UTI and with normal imaging could have a cystoscopy omitted. Younger women are less likely to have pathology and this must be factored into decisions to perform cystoscopy.
Internal ID Number: 16734849
URI: http://ahro.austin.org.au/austinjspui/handle/1/10161
DOI: 10.1111/j.1442-2042.2006.01316.x
URL: http://www.ncbi.nlm.nih.gov/pubmed/16734849
Type: Journal Article
Subjects: Adult
Cystoscopy
Diagnosis, Differential
Female
Humans
Incidence
Middle Aged
Predictive Value of Tests
Recurrence
Retrospective Studies
Urinary Tract Infections.diagnosis.epidemiology
Appears in Collections:Journal articles

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