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ASHEVILLE, N.C. -- Cystoscopy is indicated for a number of conditions seen in a general ob.gyn. practice, and it can be particularly useful for pinning down a diagnosis in conditions that have a number of potential causes, Dr. AnnaMarie Connolly said at the annual Southern Obstetric and Gynecologic Seminar.
Performing cystoscopy in a patient presenting with unexplained microscopic hematuria, for example, would allow visualization of cancer, foreign bodies, inflammation, interstitial cystitis, or traumatic injury, all of which could be the culprit, said Dr. Connolly of the University of North Carolina, Chapel Hill.
Similarly, cystoscopy can be useful for evaluating recurrent urinary tract infections and is completely acceptable in patients who present with three or more UTIs within a 6-month period. This approach can help rule out stones, masses, and other foreign bodies.
Dr. Connolly described one.patient with recurrent UTIs and irritative symptoms who was found during cystoscopy to have three errant sutures in the bladder wall from a previous surgical procedure. The sutures were resected and the patient recovered.
Other roles for cystoscopy include the evaluation of urethral diverticula, which are usually found along the posterior urethra, and the evaluation of urinary incontinence. Cystoscopy for urethral diverticula may be a ...