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Cystoscopy in children: indications for its use in common urologic problems
The Journal of Urology
|December 1, 1979
Summary
Cystoscopy in children offers valuable data for specific urologic conditions like hematuria and infections. However, avoiding this procedure when not indicated can save costs without compromising patient care quality.
Area of Science:
- Pediatric Urology
- Diagnostic Procedures
Background:
- Cystoscopy is a common urologic evaluation for children.
- Its routine use across various conditions warrants examination for efficacy and cost-effectiveness.
Purpose of the Study:
- To evaluate the diagnostic yield and impact on management of cystoscopy in pediatric patients.
- To assess the cost-effectiveness of routine cystoscopy in specific pediatric urologic conditions.
Main Methods:
- Retrospective review of patient records undergoing cystoscopy.
- Analysis focused on four diagnostic categories: hematuria, voiding dysfunction, urinary tract infection, and vesicoureteral reflux.
Main Results:
- Cystoscopy provides significant data and influences management in well-defined pediatric urologic indications.
- The procedure's utility varies across the evaluated diagnostic categories.
Conclusions:
- Cystoscopy has specific, well-defined indications in the routine urologic evaluation of children.
- Omitting cystoscopy when indications are not met offers potential for significant cost savings without negatively impacting medical care quality.