[Value of cystoscopy in the study of the urogynecological patient]

The results of 350 cystoscopic studies, are presented. In 85.7%, urinary incontinence was present, and in 72% one or more of the following symptoms were present: urgency, dysuria, urinary frequency, vesical tenesmus and nycturia. The following were analyzed: age, parity, uroculture and its relation to cystoscopic findings. Most of the patients (64.5%) were 40 to 60 years old, 54% had seven or more deliveries. Most frequent diagnoses were: urethritis alone or with trigonitis (66.8%) and urethral stenosis (meatus) in 31.4%. Uroculture was done in 96% and it was positive in 20% and negative 76%. In 88% of the patients with a negative uroculture, there were other lesions shown by urethrocytoscopy. From 300 patients with urinary incontinence, only in 155 it was confirmed objectively.