Long-term followup of a bladder carcinoma cohort: Routine followup urography is not necessary

Sten Holmäng, Hans Hedelin, Claes Anderström, Erik Holmberg, Sonny L. Johansson

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Purpose: We evaluate whether routine excretory urography is needed in the long-term followup of patients with bladder carcinoma. Materials and Methods: A total of 680 patients with an initial diagnosis of bladder carcinoma from 1987 to 1988 in western Sweden were prospectively registered and followed for at least 5 years. All carcinomas of the kidney, renal pelvis and ureter, and all surgically treated cases of ureteral stricture were registered. Results: During followup renal pelvic or ureteral carcinoma developed in 16 patients, renal cell carcinoma was diagnosed in 2 and 6 underwent surgery for benign obstruction of the distal ureter. Conclusions: The low annual incidence of malignant upper urinary tract and renal tumors as well as ureteral strictures supports our opinion that routine imaging of the upper urinary tract is not indicated during followup of patients with bladder carcinoma. We recommend urography at initial diagnosis of bladder carcinoma, when tumor progression occurs and when symptoms or signs raise suspicion of upper urinary tract disease.

Original languageEnglish (US)
Pages (from-to)45-48
Number of pages4
JournalJournal of Urology
Volume160
Issue number1
DOIs
StatePublished - Jul 1998

Fingerprint

Urography
Urinary Bladder
Carcinoma
Kidney Pelvis
Ureter
Urinary Tract
Pathologic Constriction
Kidney
Urologic Diseases
Renal Cell Carcinoma
Sweden
Signs and Symptoms
Neoplasms
Incidence

Keywords

  • Carcinoma
  • Follow-up studies
  • Transitional cell
  • Urinary tract

ASJC Scopus subject areas

  • Urology

Cite this

Holmäng, S., Hedelin, H., Anderström, C., Holmberg, E., & Johansson, S. L. (1998). Long-term followup of a bladder carcinoma cohort: Routine followup urography is not necessary. Journal of Urology, 160(1), 45-48. https://doi.org/10.1016/S0022-5347(01)63024-6

Long-term followup of a bladder carcinoma cohort : Routine followup urography is not necessary. / Holmäng, Sten; Hedelin, Hans; Anderström, Claes; Holmberg, Erik; Johansson, Sonny L.

In: Journal of Urology, Vol. 160, No. 1, 07.1998, p. 45-48.

Research output: Contribution to journalArticle

Holmäng, S, Hedelin, H, Anderström, C, Holmberg, E & Johansson, SL 1998, 'Long-term followup of a bladder carcinoma cohort: Routine followup urography is not necessary', Journal of Urology, vol. 160, no. 1, pp. 45-48. https://doi.org/10.1016/S0022-5347(01)63024-6
Holmäng, Sten ; Hedelin, Hans ; Anderström, Claes ; Holmberg, Erik ; Johansson, Sonny L. / Long-term followup of a bladder carcinoma cohort : Routine followup urography is not necessary. In: Journal of Urology. 1998 ; Vol. 160, No. 1. pp. 45-48.
@article{3720be91203647aba0de7a269b452e0a,
title = "Long-term followup of a bladder carcinoma cohort: Routine followup urography is not necessary",
abstract = "Purpose: We evaluate whether routine excretory urography is needed in the long-term followup of patients with bladder carcinoma. Materials and Methods: A total of 680 patients with an initial diagnosis of bladder carcinoma from 1987 to 1988 in western Sweden were prospectively registered and followed for at least 5 years. All carcinomas of the kidney, renal pelvis and ureter, and all surgically treated cases of ureteral stricture were registered. Results: During followup renal pelvic or ureteral carcinoma developed in 16 patients, renal cell carcinoma was diagnosed in 2 and 6 underwent surgery for benign obstruction of the distal ureter. Conclusions: The low annual incidence of malignant upper urinary tract and renal tumors as well as ureteral strictures supports our opinion that routine imaging of the upper urinary tract is not indicated during followup of patients with bladder carcinoma. We recommend urography at initial diagnosis of bladder carcinoma, when tumor progression occurs and when symptoms or signs raise suspicion of upper urinary tract disease.",
keywords = "Carcinoma, Follow-up studies, Transitional cell, Urinary tract",
author = "Sten Holm{\"a}ng and Hans Hedelin and Claes Anderstr{\"o}m and Erik Holmberg and Johansson, {Sonny L.}",
year = "1998",
month = "7",
doi = "10.1016/S0022-5347(01)63024-6",
language = "English (US)",
volume = "160",
pages = "45--48",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Long-term followup of a bladder carcinoma cohort

T2 - Routine followup urography is not necessary

AU - Holmäng, Sten

AU - Hedelin, Hans

AU - Anderström, Claes

AU - Holmberg, Erik

AU - Johansson, Sonny L.

PY - 1998/7

Y1 - 1998/7

N2 - Purpose: We evaluate whether routine excretory urography is needed in the long-term followup of patients with bladder carcinoma. Materials and Methods: A total of 680 patients with an initial diagnosis of bladder carcinoma from 1987 to 1988 in western Sweden were prospectively registered and followed for at least 5 years. All carcinomas of the kidney, renal pelvis and ureter, and all surgically treated cases of ureteral stricture were registered. Results: During followup renal pelvic or ureteral carcinoma developed in 16 patients, renal cell carcinoma was diagnosed in 2 and 6 underwent surgery for benign obstruction of the distal ureter. Conclusions: The low annual incidence of malignant upper urinary tract and renal tumors as well as ureteral strictures supports our opinion that routine imaging of the upper urinary tract is not indicated during followup of patients with bladder carcinoma. We recommend urography at initial diagnosis of bladder carcinoma, when tumor progression occurs and when symptoms or signs raise suspicion of upper urinary tract disease.

AB - Purpose: We evaluate whether routine excretory urography is needed in the long-term followup of patients with bladder carcinoma. Materials and Methods: A total of 680 patients with an initial diagnosis of bladder carcinoma from 1987 to 1988 in western Sweden were prospectively registered and followed for at least 5 years. All carcinomas of the kidney, renal pelvis and ureter, and all surgically treated cases of ureteral stricture were registered. Results: During followup renal pelvic or ureteral carcinoma developed in 16 patients, renal cell carcinoma was diagnosed in 2 and 6 underwent surgery for benign obstruction of the distal ureter. Conclusions: The low annual incidence of malignant upper urinary tract and renal tumors as well as ureteral strictures supports our opinion that routine imaging of the upper urinary tract is not indicated during followup of patients with bladder carcinoma. We recommend urography at initial diagnosis of bladder carcinoma, when tumor progression occurs and when symptoms or signs raise suspicion of upper urinary tract disease.

KW - Carcinoma

KW - Follow-up studies

KW - Transitional cell

KW - Urinary tract

UR - http://www.scopus.com/inward/record.url?scp=0345281584&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0345281584&partnerID=8YFLogxK

U2 - 10.1016/S0022-5347(01)63024-6

DO - 10.1016/S0022-5347(01)63024-6

M3 - Article

C2 - 9628602

AN - SCOPUS:0345281584

VL - 160

SP - 45

EP - 48

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 1

ER -