Comparative Analysis of Gender-Related Differences in Symptoms and Referral Patterns prior to Initial Diagnosis of Urothelial Carcinoma of the Bladder: A Prospective Cohort Study
作者： Atiqullah Aziz , Stephan Madersbacher , Wolfgang Otto , Roman Mayr , Evi Comploj
DOI: 10.1159/000363334
关键词: Internal medicine 、 Urothelial carcinoma 、 Carcinoma 、 Gynecology 、 Dysuria 、 Urinary system 、 Referral 、 Sex characteristics 、 Prospective cohort study 、 Medicine 、 Cystoscopy
摘要: Objective: To analyze gender-specific differences regarding clinical symptoms, referral patterns and tumor biology prior to initial diagnosis of urothelial carcinoma the bladder (UCB). Methods: A consecutive series patients with an UCB was included. All completed a questionnaire on demographics, symptoms patterns. Results: In total, 68 (50 men, 18 women) newly diagnosed at admission for transurethral resection tumors were recruited. Dysuria more often observed in women (55.6 vs. 38.0%, p = 0.001). Direct consultation urologist conducted by 84.0% males 66.7% females (p 0.120). One third saw their general practitioner and/or gynecologist once or twice 0.120) before urologist. Furthermore, significantly treated urinary tract infections than men (61.1 20.0%, 0.005). Cystoscopy first presentation performed (88.0 66.7%, 0.068), favorable detection rate cystoscopy (96.0 50.0%, Conclusions: Delayed might lead deferred consequently adverse outcome. Thus, primary care physicians consider referring complaints specialized earlier.
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