Bladder Cancer

Question 1

Bladder Cancer Referral pathway

Answer 1

> 45:
i) Unexplained VH WITHOUT UTI (2WW)
ii) VH that persists despite treatment of UTI (2WW)

> 60:
i) Unexplained NVH + dysuria/raised WCC (2WW)
ii) Recurrent / Unexplained UTIs (Non 2WW)

Question 2

Urine Cytology - Useful?

Answer 2

Mid Morning Urine Sample

Sensitvity- 84% High Grade Disease / 16% in Low Grade Disease / 28-100% in CIS

Overall:
>90% Specificity
>30-50% Sensitivity