1St. Petersburg State Pediatric Medical University, 2, Lytovskaya Str, Saint-Petersburg
2Astrakhan State Medical University, 121, Bakinskaya Str., Astrakhan
3North-Western State Medical University Named After I.I. Mechnikov, 47, Piskariovsky prospect, Saint-Petersburg, Russia
*Corresponding Author: Vladimir Yu. Startsev, St. Petersburg State Pediatric Medical University of the Russian Federation, Ministry of Health, 2, Lytovskaya, Str., Saint-Petersburg, 194100, Russia, e-mail: doc.urolog@gmail.com
Online published on 23 December, 2019.
The aim of the study was to improve the diagnostic and treatment approach in the provision of medical care for patients with Schistosoma-associated bladder cancer (SA-BC).
The survey results of 56 patients with gross hematuria in medical institutions of the province Benguela (Angola) since 2007 to 2012 has been studied. Group A (n=35) included patients before applying the standardized diagnostic algorithm. Group B (n=21) included patients using the new organizational format, which included using hospital outpatient care structures.
The progression to locally advanced stage of SA-BC was verified at significantly higher rate (80%). In patients from group A, while verified locally advanced SA-BC stays at low level (66, 7%) in group B.
The combined usage of urine cytology test, ultrasonography and cystoscopy at the increased proliferative process caused by Schistosoma Hematobium (SH) allows to reveal diagnose SA-BC in early stages, subject to on condition of patients admission in hospital outpatient care structures of specialized medical institutions.
Schistosoma haematobium, Schistosoma-associated bladder cancer, radical cystectomy, hospital outpatient care, short-term hospital
