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Urology (Expert Forum)
Atypical cells in bladder after prostate cancer treatment
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Atypical cells in bladder after prostate cancer treatment
by abcsoup, Jan 27, 2006 12:00AM
My father was diagnosed with prostate cancer in 11/02, and had a RRP. In 04/04 he underwent IMRT for a rise in his psa (he had one small positive surgical margin). Subsequent psa tests have been undetectbable (his last one was last week). For the past 6 months he's been having occasional bouts of hematuria. They did an IVP last week which was normal, and a cystoscopy. During the cysto, the urologist showed my dad the inflamed blood vessels in the bladder where the radiation hit, and explained that that was where the blood is coming from. They did a bladder wash as well during the cysto. Today he got the report back that there were atypical cells present in the bladder wash, and that malignancy could not be ruled out and that further testing was needed. His urologist is supposed to call him later today. Is bladder cancer the only reason why there would be atypical cells? Any other reasons for it? What tests will they likely suggest next? Thank you for your time and attention.
Doctor's Answer
by Kevin Pho, MD, Jan 28, 2006 12:00AM
, Jan 28, 2006 12:00AM
Other than cancer, infection as well as instrumentation of the bladder can lead to atypical cells.
If the bladder has been thoroughly investigated for cancer (i.e. with a cystoscopy), the changes of cancer will be less likely.
I would check for any type of lower GU infection and treat appropriately.
Repeating the cystoscopy and urine cytology can then be done to see if the atypical cells are gone.
This option can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
If the bladder has been thoroughly investigated for cancer (i.e. with a cystoscopy), the changes of cancer will be less likely.
I would check for any type of lower GU infection and treat appropriately.
Repeating the cystoscopy and urine cytology can then be done to see if the atypical cells are gone.
This option can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments (1)
by abcsoup, Jan 27, 2006 12:00AM
To: Bladder Cancer
0
