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Endoscopic Evaluation

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Female Genitourinary and Pelvic Floor Reconstruction

Abstract

Cystoscopy is a basic urologic skill necessary for the endoscopic evaluation of the lower urinary tract, specifically the urethra and bladder. It is one of the most important diagnostic tools used by urologists to evaluate the lower urinary tract. It is relatively simple and can be performed under local anesthesia as an office procedure in numerous cases, or in the operating room under general anesthesia. There are essentially two types of cystoscopies: rigid (used for both diagnostic and therapeutic purposes) and flexible (mostly used for diagnostic purposes). It is a very useful means of diagnosis for numerous urologic conditions, and it also has a therapeutic role when needed. Indications for cystoscopy may range from major health-threatening conditions such as bladder cancer or severe hematuria to milder, bothersome conditions such as micturition problems, bladder stones, recurrent lower urinary tract infections, and bladder pain syndrome. This is a simple procedure that every urologist should be able to perform as part of their clinical routine practice, either for diagnostic or therapeutic purposes.

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References

  1. Gunning JE, Rosenzweig BA. Evolution of endoscopic surgery. In: White RA, Klein SR, editors. Endoscopic surgery. St. Louis: Mosby; 1991.

    Google Scholar 

  2. Kelly HA. The direct examination of the female bladder with elevated pelvis: the catheterization of the ureters under direct inspection, with and without elevation of the pelvis. Am J Obstet Dis Women Child. 1894;25:1.

    Google Scholar 

  3. Shah J. Endoscopy through the ages. BJU Int. 2002;89:645–52.

    Article  PubMed  Google Scholar 

  4. Hopkins HH, Kopany NS. A flexible fiberscope, using static scanning. Nature. 1954;179:30.

    Google Scholar 

  5. Yassin MS, Henderson JM, Keely FX. Endoscopy. In: Cardozo L, Staskin D, editors. Textbook of female urology and urogynecology. Boca Raton: CRC Press, Taylor & Francis Group; 2017.

    Google Scholar 

  6. Kouri T, Fogazzi G, Gant V, et al. European urinalysis guidelines. Scand J Clin Lab Invest. 2000;60(Supplement 231):1–96.

    Article  Google Scholar 

  7. Quayle SS, Ames CD, Lieber D, Yan Y, Landman J. Comparison of optical resolution with digital and standard fiberoptic cystoscopes in an in vitro model. Urology. 2005 Sep;66(3):489–93.

    Article  PubMed  Google Scholar 

  8. Okhunov Z, Hruby GW, Mirabile G, Marruffo F, Lehman DS, Benson MC, Gupta M, Landman J. Prospective comparison of flexible fiberoptic and digital cystoscopes. Urology. 2009 Aug;74(2):427–30.

    Article  PubMed  Google Scholar 

  9. Wolf JS, Bennett CJ, Dmochowski RR, Hollenbeck BK, Pearle MS, Schaeffer AJ. Urologic surgery antimicrobial prophylaxis best practice policy panel. Best practice policy statement on urologic surgery antimicrobial prophylaxis. J Urol. 2008 Apr;179(4):1379–90.

    Article  PubMed  Google Scholar 

  10. Melekos MD, Asbach HW, Barbalias GA. Vesical diverticula: etiology, diagnosis tumorgenesis and treatment. Analysis of 74 cases. Urology. 1987;30:453–7.

    Article  CAS  PubMed  Google Scholar 

  11. Hadley HR. Vesicovaginal fistula. Curr Urol Rep. 2002;3:401–7. https://doi.org/10.1007/s11934-002-0085-5.

    Article  PubMed  Google Scholar 

  12. Gerber GS, Schoenberg HW. Female urinary tract fistulas. J Urol. 1993;149(2):229–96.

    Article  CAS  PubMed  Google Scholar 

  13. Mileski WJ, Joehl RJ, Rege RV, Nahrwold DL. One-stage resection and anastomosis in the management of colovesical fistula. Am J Surg. 1987;153(1):75–9.

    Article  CAS  PubMed  Google Scholar 

  14. Pollard SG, Macfarlane R, Greatorex R. Colovesical fistula. Ann R Coll Surg Engl. 1987;69(4):163–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Daniels IR, Bekdash B, Scott HJ, Marks CG, Donaldson DR. Diagnostic lessons learnt from a series of enterovesical fistulae. Color Dis. 2002;4(6):459–62.

    Article  CAS  Google Scholar 

  16. Melchior S, Cudovic D, Jones J, Thomas C, Gillitzer R, Thüroff J. Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis. J Urol. 2009;182(3):978–82.

    Article  PubMed  Google Scholar 

  17. Solkar MH, Forshaw MJ, Sankararajah D, Stewart M, Parker MC. Colovesical fistula—is a surgical approach always justified? Color Dis. 2005;7(5):467–71.

    Article  CAS  Google Scholar 

  18. Kwon EO, Armenakas NA, Scharf SC, Panagopoulos G, Fracchia JA. The poppy seed test for colovesical fistula: big bang, little bucks! J Urol. 2008;179(4):1425–7.

    Article  PubMed  Google Scholar 

  19. Kavanagh D, Neary P, Dodd JD, Sheahan KM, O’Donoghue D, Hyland JMP. Diagnosis and treatment of enterovesical fistulae. Color Dis. 2005;7(3):286–91.

    Article  CAS  Google Scholar 

  20. Van de Merwe J, Nordling J, Bouchelouche P, et al. Diagnostic criteria, classification and nomenclature for painful bladder syndrome/interstitial cystitis: an ESSIC proposal. Eur Urol. 2008;53(1):60–7. https://doi.org/10.1016/j.eururo.2007.09.019.

    Article  PubMed  Google Scholar 

  21. Engeler DS, Baranowski AP, Dinis-Oliveira P, Elneil S, Hughes J, Messelink EJ, van Ophoven A, Williams AC, European Association of Urology. The 2013 EAU guidelines on chronic pelvic pain: is management of chronic pelvic pain a habit, a philosophy, or a science? 10 years of development. Eur Urol. 2013 Sept;64(3):431–9.

    Article  PubMed  Google Scholar 

  22. Homma Y, Ueda T, Ito T, Takei M, Tomoe H. Japanese guideline for diagnosis and treatment of interstitial cystitis. Int J Urol. 2009 Jan;16(1):4–16.

    Article  PubMed  Google Scholar 

  23. Hanno P, Lin A, Nordling J, Nyberg L, van Ophoven A, Ueda T, Wein A. Bladder Pain Syndrome Committee of the International Consultation on Incontinence Bladder Pain Syndrome Committee of the International Consultation on Incontinence. Neurourol Urodyn. 2010;29(1):191–8.

    Article  PubMed  Google Scholar 

  24. Hanno PM, Erickson D, Moldwin R, Faraday MM, American Urological Association. Diagnosis and treatment of interstitial cystitis/bladder pain syndrome: AUA guideline amendment. J Urol. 2015 May;193(5):1545–53.

    Article  PubMed  Google Scholar 

  25. Cole EE, Scarpero HM, Dmochowski RR. Are patient symptoms predictive of the diagnostic and/or therapeutic value of hydrodistention? Neurourol Urodyn. 2005;24(7):638–42.

    Article  PubMed  Google Scholar 

  26. Lamale LM, Lutgendorf SK, Hoffman AN, Kreder KJ. Symptoms and cystoscopic findings in patients with untreated interstitial cystitis. Urology. 2006 Feb;67(2):242–5.

    Article  PubMed  Google Scholar 

  27. Aihara K, Hirayama A, Tanaka N, Fujimoto K, Yoshida K, Hirao Y. Hydrodistension under local anesthesia for patients with suspected painful bladder syndrome/interstitial cystitis: safety, diagnostic potential and therapeutic efficacy. Int J Urol. 2009 Dec;16(12):947–52.

    Article  PubMed  Google Scholar 

  28. Hand JR. Interstitial cystitis; report of 223 cases (204 women and 19 men). J Urol. 1949 Feb;61(2):291–310.

    Article  CAS  PubMed  Google Scholar 

  29. Walsh A. Interstitial cystitis. In: Harrison JH, Gittes RF, Perlmutter AD, editors. Campbell’s urology. 4th ed. Philadelphia: W. B. Saunders; 1978. p. 693.

    Google Scholar 

  30. Waxman JA, Sulak PJ, Kuehl TJ. Cystoscopic findings consistent with interstitial cystitis in normal women undergoing tubal ligation. J Urol. 1998 Nov;160(5):1663–7.

    Article  CAS  PubMed  Google Scholar 

  31. Grossklaus DJ, Franke JJ. Vesical necrosis after hydrodistension of the urinary bladder in a patient with interstitial cystitis. BJU Int. 2000 July;86(1):140–1.

    Article  CAS  PubMed  Google Scholar 

  32. American Cancer Society. Cancer facts & figures 2007. Atlanta: American Cancer Society; 2007. http://www.cancer.org/downloads/STT/CAFF2007PWsecured.pdf

    Google Scholar 

  33. Chavan S, Bray F, Lortet-Tieulent J, Goodman M, Jemal A. International variations in bladder cancer incidence and mortality. Eur Urol. 2014;66:59–73.

    Article  PubMed  Google Scholar 

  34. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. GLOBOCAN 2008 v2.0, cancer incidence and mortality worldwide: IARC Cancer Base No. 10. [Internet]. International Agency for Research on Cancer website http://globocan.iarc.fr

  35. Burger M, Catto JWF, Dalbagni G, et al. Epidemiology and risk factors of urothelial bladder cancer. Eur Urol. 2013;63:234–41.

    Article  PubMed  Google Scholar 

  36. Parkin DM. The global health burden of infection-associated cancers in the year 2002. Int J Cancer. 2006;118:3030–44.

    Article  CAS  PubMed  Google Scholar 

  37. Jocham D, Witjes F, Wagner S, et al. Improved detection and treatment of bladder cancer using hexaminolevulinate imaging: a new prospective, phase III multicenter study. J Urol 2005; 174(3):862–866.; discussion 866.

    Google Scholar 

  38. Elfering PO, Witjes JA. Blue-light cystoscopy in the evaluation of non-muscle-invasive bladder cancer. Ther Adv Urol. 2014;6(1):25–33.

    Article  Google Scholar 

  39. Jichlinski P, Jacqmin D. Photodynamic diagnosis in non-muscle invasive bladder cancer. Eur Urol Suppl. 2008;7:529–35.

    Article  CAS  Google Scholar 

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Martins, F.E., Martins, N., Tryfonyuk, L., Riquelme, J.B. (2023). Endoscopic Evaluation. In: Martins, F.E., Holm, H.V., Sandhu, J.S., McCammon, K.A. (eds) Female Genitourinary and Pelvic Floor Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-19598-3_11

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  • DOI: https://doi.org/10.1007/978-3-031-19598-3_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-19597-6

  • Online ISBN: 978-3-031-19598-3

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