Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10161
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dc.contributor.authorLawrentschuk, Nathanen
dc.contributor.authorOoi, Jasonen
dc.contributor.authorPang, Annaen
dc.contributor.authorNaidu, Krishant Sen
dc.contributor.authorBolton, Damien Men
dc.date.accessioned2015-05-15T23:31:28Z
dc.date.available2015-05-15T23:31:28Z
dc.date.issued2006-04-01en
dc.identifier.citationInternational Journal of Urology : Official Journal of the Japanese Urological Association; 13(4): 350-3en
dc.identifier.govdoc16734849en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10161en
dc.description.abstractTo 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.en
dc.language.isoenen
dc.subject.otherAdulten
dc.subject.otherCystoscopyen
dc.subject.otherDiagnosis, Differentialen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherIncidenceen
dc.subject.otherMiddle Ageden
dc.subject.otherPredictive Value of Testsen
dc.subject.otherRecurrenceen
dc.subject.otherRetrospective Studiesen
dc.subject.otherUrinary Tract Infections.diagnosis.epidemiologyen
dc.titleCystoscopy in women with recurrent urinary tract infection.en
dc.typeJournal Articleen
dc.identifier.journaltitleInternational journal of urology : official journal of the Japanese Urological Associationen
dc.identifier.affiliationUniversity of Melbourne, Department of Surgery, Austin Health, Melbourne, Australiaen
dc.identifier.doi10.1111/j.1442-2042.2006.01316.xen
dc.description.pages350-3en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/16734849en
dc.type.austinJournal Articleen
local.name.researcherBolton, Damien M
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptUrology-
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