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Ginecol Obstet Mex. 2010 Mar;78(3):187-90.

[Contribution of bladder biopsy to the study of urogynaecological patient].

[Article in Spanish]

Author information

  • 1Hospital Civil Fray Antonio Alcalde, CUCS, Universidad de Guadalajara, Jal. oscar.flores@urodifem.com.mx

Abstract

BACKGROUND:

One of the characteristics of urinary symptoms in women is their lack of specificity. Patients with stress incontinence or urgency, local irritation, infection, distal stenosis or a neoplastic process have very similar symptoms.

OBJECTIVE:

Determine the frequency of bladder structural lesions detected by urethrocistoscopy in which we performed bladder biopsies.

MATERIAL AND METHOD:

Descriptive, retrospective, analytical study of files and videos of 331 patients treated in Urodifem de Occidente (private Urogynecology Center). Thirty-five biopsies were taken. The statistical analysis was expressed as means standard deviations, ranges, percentages and Fishers test.

RESULTS:

Patients ages range 30-90 years average 60+13.76. Predominant symptoms were: irritative vesical syndrome 62.8%; pelvic pain 45.71%; urge incontinence 31.4%; hematuria 31.4%; vesical voiding dysfunction 11.4%. Principal endoscopic findings: Urethrotrigonitis; glomerular lesions or Hunner ulcers; vesical trabeculations; tumor or suspect lesions. Histopathologic findings were: Interstitial Cystitis 42.9%; chronic Cystitis 11.4%; Cystitis glandularis 8.6%; Cystitis follicular 11.4%; bladder cancer 5.7%; Vesical Papilloma 5.7%.

CONCLUSIONS:

This study supports the practice of vesical biopsy when lesions other than those from chronic infection are observes in the presence of tumors or suspect lesions.

PMID:
20939223
[PubMed - indexed for MEDLINE]
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