Follow-up criteria and cystoscopic classifications of bladder lesions: A retrospective analysis

Abstract

Aim: To screen cystoscopically bladder cancer mimicking lesions and to present its clinical importance.Material and Methods: After receiving anamnesis of patients, hematological, biochemical, microbiological, cytological, pathologicand radiological assessments were performed. Randomized cold cup bladder biopsy, transurethral resection or open surgicalexcision were performed. The lesions were classified according to their cystoscopy appearance. Practical approach criterias werecompiled based on their treatments and follow-up, throughout 9 years.Results: A total of 297 patients were reached .The mean age of all were 62±6 years. Almost all bladder lesions (95 %) were prediagnosed as bladder cancer according to the radiologic screening results like bladder wall thickening and irregularities. Theprecancerous /cancerous lesions were detected incidentally at a rate of 3.36 %. PAP (Papanicolaou) III urine cytology was observed ata rate of 3.4 %. Carcinoma in situ developed in the follow-ups and one converted to Grade I transitional cell cancer. Total cystectomywas required in a patient who was diagnosed with urinary tuberculosis.Conclusions: There may be precancerous or cancerous lesions in the background of these lesions which do not respond to treatmentor constantly recur. There may be changes in favor of malignancies in lesions. The study created a different perspective on theselesions with cystoscopy classification.