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Comparison of Urine Cytology Between the Ileal Conduit and Indiana Pouch

2000; Karger Publishers; Volume: 44; Issue: 5 Linguagem: Inglês

10.1159/000328556

1938-2650

Yasuhiko Watarai, Haruaki Satoh, Miyuki Matubara, Kazue Asakawa, Harumi Kamaguchi, Sachiko Nagai, Yukihiro Murase, Munehiro Yokoyama, Go Kimura, Koichi Tamura, Yuichi Sugisaki,

Colorectal Cancer Screening and Detection

To compare the cytomorphologic features of urine obtained from two different kinds of urinary diversions constructed after total bladder resection.The smears of urine from 11 ileal conduits and 6 Indiana pouches were evaluated. All patients underwent total bladder resection due to transitional cell carcinoma (TCC) or other kinds of cancer before urine diversion.The cytologic features of Indiana pouch urine include degenerated, small, round cells without columnar cells derived from intestinal epithelium. In ileal conduit urine, well-preserved columnar cells and degenerated, small, round cells were frequently observed. The columnar cells in ileal conduit urine exhibited cytologic features that should be distinguished from TCC cells.The method of reconstructing the urinary tract is important in urine cytology from urine diversions because the cytomorphologic features of urine are different between the two kinds of urinary diversions. Since columnar cells in ileal conduit urine might lead to misdiagnosis as TCC, special consideration is required to examine ileal conduit urine.