J. O. Omodu and A. C. Iyama AC
ABSTRACT
Background: Urethrocystoscopy also known as cystoscopy is an important tool for the urologist for both diagnostic and therapeutic purposes. The aim of this study is to present a 3-year audit of urethrocystoscopy service in a public and private facility in Port Harcourt.
Aim: This study aims to review the cystoscopies done at the Department of Surgery, Rivers State University Teaching Hospital (RSUTH) and Colworths Medical Centre and to discuss its importance as a diagnostic tool in lower urinary tract symptoms.
Materials and Methods: This study was a prospective study of all cystoscopies carried out in Colworths Medical Centre and RSUTH between November 2012 and June 2015. Information obtained from case records include age, gender, diagnosis, procedure, duration of surgery, and complications and were analyzed. Rigid cystoscopes were used for all procedures. Data analysis was done using SPSS version 20.
Results: During the period of the study, 103 cystoscopies were performed on 103 patients with an age range of 3–89 years with the mean age of 66.99. There were 98 (95.14%) males and 5 (4.85%) females. Indications for cystoscopies were 6 (5.82%) bladder tumors, 53 (51.45%) benign prostatic hyperplasia, 20 (19.41%) prostate cancer, 16 (15.53%) urethral stricture, 3 (2.91%) hematuria, 4 (3.88%) bladder calculi, and 1 (0.97%) posterior urethral valve. The duration of the procedure had a mean time of 9 min. Sixty-one (59.22%) cases were done in Colworths while 42 (40.77%) cases were done in RSUTH and outcomes were satisfactory as there was no complication seen.
Conclusion: The most common indication for cystoscopy in the two study centers was benign prostatic hyperplasia. Cystoscopy is a vital diagnostic tool in urology as it offers a life image of the urinary tract and aids in prompt and effective therapeutic decisions.
Key words: Review, urethrocystoscopy, Colworths, Port Harcourt.