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Updated: Aug 21, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
Do we need to perform cystoscopy on all adults attending urology centres as outpatients?
V Kumar1, H R Patel, S M Nathan
1The Whittington Hospital, London, UK. vivekanandan.kumar@icr.ac.uk
Introduction:
There has been considerable expansion in the use of flexible cystoscopy (FC) and people who can perform the procedure. Hence, there is a criticism that this procedure is being overused with no management benefit.
Materials And Methods:
We audited the use of FC in a district hospital for a period of 1 year. The results of FC for non-standard indications (other than haematuria and check cystoscopy) were analysed for their diagnostic yield.
Results:
Of the 1,390 FCs performed, 295 were done for non-standard indications. 46.14% of these cystoscopies had positive findings. Cancer detection rate was 6.10%. Cystoscopy altered the management in 14.08% of patients and was supportive to diagnosis and management in 32.06%.
Conclusion:
This procedure is certainly not overused and the ever-increasing requirement of this simple procedure has serious resource implications for the National Health Service.
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