Flexible cystoscopy: outpatients or domiciliary?

Fraczyk, Linda; Godfrey, Helen; Feneley, R. C. L.

doi:10.12968/bjcn.2002.7.2.9205

Cited by 5 publications

(3 citation statements)

References 7 publications

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“…A prototype battery-powered flexible cystoscope was developed to facilitate this. Feedback from patients indicated a preference for the domiciliary service and cost benefits were identified [4].…”

Section: Introductionmentioning

confidence: 99%

Do We Need to Perform Cystoscopy on All Adults Attending Urology Centres as Outpatients?

Kumar

Patel²,

Nathan³

et al. 2004

Urol Int

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Introduction: There has been considerable expansion in the use of flexible cystoscopy (FC) and people who can perform the procedure. Hence, there is a criticism that this procedure is being overused with no management benefit. Materials and Methods: We audited the use of FC in a district hospital for a period of 1 year. The results of FC for non-standard indications (other than haematuria and check cystoscopy) were analysed for their diagnostic yield. Results: Of the 1,390 FCs performed, 295 were done for non-standard indications. 46.14% of these cystoscopies had positive findings. Cancer detection rate was 6.10%. Cystoscopy altered the management in 14.08% of patients and was supportive to diagnosis and management in 32.06%. Conclusion: This procedure is certainly not overused and the ever-increasing requirement of this simple procedure has serious resource implications for the National Health Service.

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Section: Introductionmentioning

confidence: 99%

Do We Need to Perform Cystoscopy on All Adults Attending Urology Centres as Outpatients?

Kumar

Patel²,

Nathan³

et al. 2004

Urol Int

View full text Add to dashboard Cite

show abstract

“…It is possible that this equipment could be made available in the community setting, and may prove to be the most economical solution, if community continence nurses are adequately trained to perform this procedure. Fraczyk et al [17] introduced the concept of undertaking flexible cystoscopy on a domiciliary basis with a view to reducing costs, improving time management and offering a more reliable service to patients. A prototype battery-powered flexible cystoscope was used to facilitate this service and five visits were undertaken.…”

mentioning

confidence: 99%

Impact of the lack of community urinary catheter care services on the Emergency Department

et al. 2016

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ObjectivesTo conduct an audit of patients presenting with long-term urinary catheter (LTC)-associated problems to our Emergency Department (ED) and to assess the availability of community nursing support for their LTC. We also estimated the cost implication to the health service and the potential solutions to this issue, as although catheter care is provided by community nurses, LTC problems are common presentations to the ED and are often significant burdens to the services. Patients and MethodsA study was carried out of all patients presenting to the ED with a urinary catheter problem, specifically studying LTCs and the reason for presentation, district nurses' involvement, and the intervention received. ResultsIn all, 78 patients with a urinary catheter problem presented to the ED over a 69-day period, of whom 59 (68%) had a LTC. In all, 33 patients (42%) attended during normal working hours between 0900 and 1700 h. The mean (range) age was 74 (42-93) years and the duration the LTC had been in situ was 11 (1-120) months. The most common reasons for attendance were blocked catheter (37 patients, 47%) and catheter-bypass (18, 23%). Only 28 patients (36%) were known to district nursing services, and 14% were referred by a district nurse. Most of the remaining patients self-referred to the ED. No patient had any documented contact with their general practitioner. In addition, 64 patients (82%) had their catheter issues addressed adequately by ED nurses or doctors, without any urology involvement. ConclusionsThe high morbidity of LTCs causes a considerable demand on ED services, and has heavy cost implications to the health system. Most patients had minimal community nurse support, and their catheter problems were easily dealt with by ED nurses and doctors.

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“…Cystoscopy alone or in combination with excretory urography, or intravenous urography (IVU),is one of the most significant diagnostic tools in young patients with microscopic haematuria. [10][11][12] Haematuria was the presenting complaints in 11 patients in our study.With the use of urethrocystoscopy, there is rapid completion of diagnostic workup, and operations for surgical conditions can be scheduled more promptly. The patients included in our study were all those who presented with lower urinary tract symptoms only and who had no pathology detected on x-ray KUB.Instead of waiting for ultrasonography, flexible cystoscopic was performed.…”

Section: Discussionmentioning

confidence: 56%

Flexible Cystoscopy a Valuable Diagnostic Lool for Lower Urinary Tract Pathology

Khan

Naser

Hossain³

et al. 2020

Bang J Urology

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Objective: To assess the role of flexible cystoscopy in the diagnosis of lower urinary tract pathology and its suitability as a routine diagnostic protocol in outdoor patients. Methods: The cross sectional study was conducted at the advanced centre of kidney diseases and urology, Dhaka central international medical college, Dhaka from Jan 2016 to jan2019. All adult patients presenting with lower urinary symptoms to outdoor department were included. Flexible Cystoscopy was performed as a outdoor based procedure without sedation. Results: Of the 249 patients in the study,198(79%) were male and 51(21%) were female. Lower urinary tract pathologies were found in 192(72%) patients. The most common pathology among males was enlarged prostate 56(31%) patients. Urethral stricture, bladder neck high were found 23(11%),21(10%) respectively. Among females, urethral stenosis was the most common pathology in 23(32%)patients. Transitional cell carcinoma was seen in 11(4.4%) patients having hematuria with inconclusive ultrasound and intravenous urography. .All patients tolerated the procedure well with no procedure related complaints. Conclusion: Flexible cystoscopy is an effective, well tolerated and easy way of detecting lower urinary tract pathologies. It can alter the management as well as support the diagnosis and management. It is also helpful in routine surveillance of bladder tumours of low grade and low stage. Flexible cystoscopy should therefore be used as routine diagnostic protocol in outdoor practice. Bangladesh Journal of Urology, Vol. 23, No. 2, July 2020 p.151-153

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Flexible cystoscopy: outpatients or domiciliary?

Cited by 5 publications

References 7 publications

Do We Need to Perform Cystoscopy on All Adults Attending Urology Centres as Outpatients?

Do We Need to Perform Cystoscopy on All Adults Attending Urology Centres as Outpatients?

Impact of the lack of community urinary catheter care services on the Emergency Department

Flexible Cystoscopy a Valuable Diagnostic Lool for Lower Urinary Tract Pathology

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