Paper Information

Title: 

URINE CYTOLOGIC FINDINGS IN NEUROGENIC BLADDER

Type: PAPER
Author(s): MONABATI AHMAD*,SHAKERI SAEED,MONABATI MOHAMMAD HOSSEIN,V.KUMAR PERIKALA,EBRAHIMI ESMAEL,NILI ESFAHANI FARROKHSHAD
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: TO DESCRIBE THE URINE CYTOLOGIC FINDINGS IN NEUROGENIC BLADDER OF IRAN-IRAQ WAR CASUALTIES AND DISCUSS THE SIGNIFICANCE OF UROTHELIAL ATYPIA-DYSPLASIA.
METHODS & MATERIALS: THREE URINE SAMPLES FROM EACH OF 80 PATIENTS WITH NEUROGENIC BLADDER OF IRAN-IRAQ WAR CASUALTIES WERE COLLECTED ON CONSEQUETIVE DAYS. THE AGES RANGED BETWEEN 24-64, ONE WAS FEMALE AND 79 WERE MALE. THE SMEARS WERE PREPARED FROM THE SEDIMENT AND STAINED WITH PAPANICOLAOU METHOD.
RESULTS: THE MOST COMMON FINDINGS WERE PRESENCE OF PMN LEUKOCYTES AND BACTERIA. THIRTEEN CASES HAD SMALL AND LARGE PAPILLARY CLUSTERS OF TRANSITIONAL EPITHELIUM, ONLY 3 HAD INTERNAL CATHETER AND ONE HAD RENAL STONE. SIXTEEN CASES HAD VARIABLE DEGREES OF UROTHELIAL ATYPIA, ONLY 7 OF THEM HAD INTERNAL CATHETER AND TWO HAD RENAL STONE. NONE OF THEM HAD TRANSITIONAL CELL CARCINOMA BY FOLLOW UP BIOPSY.
DISCUSSION & CONCLUSION: NEUROGENIC BLADDER CAN PRODUCE TRANSITIONAL CELL ATYPIA AND PRESENCE OF PAPILLARY CLUSTERS IN URINE DUE TO EITHER INSTRUMENTATION AND LITHIASIS OR SIMPLY BY STASIS WITHOUT CATHETERIZATION.

 
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