Abstract
Objectives
To determine the current trends in the follow-up of patients with muscle-invasive bladder cancer following radiotherapy, among consultants in the United Kingdom and the republic of Ireland in terms of cystoscopic survey and imaging of the upper tracts.
Methods
A national postal survey was carried out in 2006 including 602 urologists registered with the British Association of Urological Surgeons (BAUS).
Results
About 40% of the consultants participated in the survey. Seventy-seven per cent performed cystoscopy 3 months post-radiotherapy and 78% used rigid cystoscopy. The majority (91%) did not take routine random biopsies at the time of the first cystoscopy if it looked normal. Seventy-eight per cent of the participants requested upper-tract imaging in the presence of cystoscopic abnormalities, and long-term follow-up was recommended by 75%.
Conclusions
There is a wide-range of practice regarding the first check cystoscopy following radiotherapy for muscle-invasive bladder cancer and it could prove the foundation for more randomised trials to determine the evidence-based practice.
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Appendix: Post-radiotherapy follow-up for bladder cancer muscle-invasive bladder cancer questionnaire
Appendix: Post-radiotherapy follow-up for bladder cancer muscle-invasive bladder cancer questionnaire
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1.
The timing of the first post-radiotherapy check cystoscopy?
□ 3 months, □ 4 months, □ 6 months, □ Other (please state……………………..)
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2.
The type of the first post-radiotherapy check cystoscopy?
□ Rigid cystoscopy, □ flexible cystoscopy
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3.
The person performing the first post-radiotherapy check cystoscopy?
□ Consultant
□ Middle grades
□ SHOs
□ Urology nurse practitioners
□ Others (please state……………………….)
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4.
Bladder biopsies at the time of first post-radiotherapy cystoscopy?
Normal cystoscopy: □ Yes □ No
Abnormal cystoscopy: □ Resection biopsies □ Cold-cup biopsies
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5.
Upper-tract imaging
□ Routine,
□ In the presence of abnormal cystoscopy
□ In the presence of abnormal Examination under anaesthesia
□ Others (please state…………)
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6.
Long-term follow-up plan
□ Lifelong follow-up
□ Stop after 10 years with no recurrence
□ Others (please state……………………)
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Mohammed, A., Hameed, A., Shergill, I. et al. The practice of the first check cystoscopy following radiotherapy for the treatment of muscle-invasive (T3N0M0) bladder cancer: a UK national survey. Int Urol Nephrol 43, 377–381 (2011). https://doi.org/10.1007/s11255-010-9789-5
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DOI: https://doi.org/10.1007/s11255-010-9789-5