Starting from the UK experience, we decided to test both the feasibility and the advantages of this diagnostic pathway now established in an Italian hospital. We analyzed the outcomes in detecting transitional cell carcinoma (TCC) of the bladder, other malignant and non-malignant conditions. Between April and December 2010, one hundred and fifty patients presenting with hematuria were referred to the Hematuria One Stop Clinic (HOSC) at our Institution. Each patient underwent a visit, a Urinary Tract Ultrasound, a Cystoscopy and CT IVP in selected cases (evidence of alterations or lesions of the renal parenchyma, presence of stones of the urinary tract, evidence of doubtful or positive urinary cytology). Where a TCC of the bladder was diagnosed, the patient underwent TUR-BT. In other cases (stones, BPH etc.) the appropriate therapeutic pathway was followed. 25.3% of patients with hematuria were found to have a bladder cancer; 21.3% had a urinary stone (2% in the bladder); 1.3% had prostate cancer; 1.3% had a renal cell carcinoma. The mean age was 69.8 yrs. 6% of the patients (23.6% on patients with TCC of the bladder) had a G3 disease. The mean time from admission to the HOSC until the operation day, in case of TCC of the bladder, was 10.61 days. The Italian experience of the One Stop Clinic confirms a high rate of bladder cancer detection. Furthermore, a high rate of non-malignant conditions was detected, stressing the importance of the HOSC not only as a cancer clinic but as a complete general urological clinic. We report a shorter waiting time to operation, especially for bladder TCC G3 patients.
Hematuria one-stop clinic: first experience in Italy with 150 cases / L. Carmignani, G. Bozzini, V. Nicosia, M. Consentino, S. Picozzi, S. Casellato, L. Lunelli. - In: UROLOGIA. - ISSN 0391-5603. - 78:4(2011 Oct), pp. 262-266.
|Titolo:||Hematuria one-stop clinic: first experience in Italy with 150 cases|
CARMIGNANI, LUCA FABIO (Primo)
BOZZINI, GIORGIO (Secondo)
LUNELLI, LUCA GIUSEPPE GIORGIO (Ultimo)
|Parole Chiave:||Adenocarcinoma; Aged; Carcinoma, Transitional Cell; Cystoscopy; Diagnostic Techniques, Urological; Early Diagnosis; Feasibility Studies; Female; Hematuria; Hospital Departments; Hospitals, University; Humans; Italy; Male; Middle Aged; Patient Satisfaction; Prostatic Neoplasms; Time Factors; Tomography, X-Ray Computed; Urolithiasis; Urologic Diseases; Urologic Neoplasms|
|Settore Scientifico Disciplinare:||Settore MED/24 - Urologia|
|Data di pubblicazione:||ott-2011|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.5301/RU.2011.8873|
|Appare nelle tipologie:||01 - Articolo su periodico|