International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 3, Issue 4, Part F (2019)

Place of diagnostic cystourethroscopy in evaluation of lower urinary tract symptoms (LUTS) and associated pathologies, experience of a district hospital

Author(s): Dr. Surya Kumar Singh and Dr. Akhilesh Chandra
Abstract:
Background: Cystourethroscopy is used to diagnose and monitor conditions affecting bladder and urethra. LUTS i.e. lower urinary tract symptoms is a term used to describe a plethora of conditions involving bladder, sphincter, prostate and urethra, symptoms like hesitancy, urgency, frequency, weak stream, dribbling, etc. Collectively comprises LUTS. Symptoms point towards the cause of the problem viz urinary tract infection, prostatitis, Benign Prostatic Hyperplasia, Overactive bladder etc.
Objective: To study the value of Cystourethroscopy in a plethora of Urological disorders including cases of Haematurea, LUTS, UTI, incontinence etc.
Material & Methods: This study was conducted at Balrampur Hospital, Lucknow, Urology department between 2014-2018, patients selected were between 18 yrs to 80 yrs of age, from both sexes. It is a retrospective uncontrolled study done on 1252 patient.
Patients were subjected to thorough examination including History and Clinical examination. Patients were selected having voiding symptom (both storage and obstructive), gross or microscopic Haematurea, evaluation of urologic fistulas, urethral or bladder diverticulum, incontinence patients, evaluation after prolapse procedures, bladder stones etc. Cystourethroscopy is done with a 17Fcystoscopesheath under local anesthesia and takes about 15 minutes. Patients having prior Urinary tract infection are treated with antibiotics before they are subjected to cystoscopy. There are hardly any complications related to the procedures, other than occasional transient minimal Haematurea, pain, occasional short episode of fever & dysuria.
Results: Cystoscopy is a minor procedure without any major complications other than very trivial once like dysuria, mild pain. It’s a definitive diagnostic tool which settles the diagnosis in cases such as strictures, BPH, High bladder neck, stones, diverticulum, tumor or polyp, cases of fistulas, cystitis and helps in exclusion of cause of neurogenic bladder and overaction bladder. Hence it’s a boon for patients of LUTS as far as settling the diagnosis is concerned.
Conclusion: Cystoscopy is a very important diagnostic tool for arriving at a definite diagnosis in cases of patients coming with Lower Urinary tract symptoms and other pathologies related to bladder, prostate and urethra.
Pages: 335-337  |  2 Views  2 Downloads
How to cite this article:
Dr. Surya Kumar Singh and Dr. Akhilesh Chandra. Place of diagnostic cystourethroscopy in evaluation of lower urinary tract symptoms (LUTS) and associated pathologies, experience of a district hospital. International Journal of Surgery Science. 2019; 3(4): 335-337. DOI: https://doi.org/10.33545/surgery.2019.v3.i4f.265