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.