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Related Experiment Videos

Hematuria screening for bladder cancer.

E M Messing1, A Vaillancourt

  • 1University of Wisconsin School of Medicine, Madison 53792.

Journal of Occupational Medicine. : Official Publication of the Industrial Medical Association
|September 1, 1990
PubMed
Summary

Screening asymptomatic men over 50 for bladder cancer using urine dipstick tests can detect early-stage tumors. This early detection through hematuria screening offers a favorable prognosis and reduces mortality.

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Area of Science:

  • Urology
  • Oncology
  • Preventive Medicine

Background:

  • Early detection of bladder cancer significantly improves patient prognosis.
  • Hematuria is a common symptom of bladder cancer, even in noninvasive stages.
  • Intermittent hematuria necessitates repetitive screening for effective early detection.

Purpose of the Study:

  • To evaluate the efficacy of screening asymptomatic, at-risk populations for bladder cancer.
  • To assess the potential of hematuria detection via dipstick testing for early bladder cancer diagnosis.
  • To explore the reduction of bladder cancer morbidity and mortality through early detection.

Main Methods:

  • A pilot study involving asymptomatic men over age 50 was conducted.
  • Screening involved repetitive urine dipstick testing for hematuria.
  • Positive dipstick results prompted urologic work-up for bladder cancer diagnosis.

Main Results:

  • 11.4% of screened asymptomatic men over 50 with at least one positive dipstick test were diagnosed with bladder cancer.
  • Detected bladder cancers were at early stages, amenable to purportedly curative treatment.
  • This pilot study demonstrates the potential of hematuria screening in high-risk populations.

Conclusions:

  • Repetitive hematuria screening via dipstick tests can facilitate early bladder cancer detection in asymptomatic, at-risk individuals.
  • Early diagnosis through this method offers a favorable prognosis and potential for reduced mortality.
  • Further studies are needed to confirm and expand this screening methodology to broader high-risk populations.

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