title: Do we need to perform cystoscopy on all adults attending urology centres as outpatients?
abstract: BACKGROUND
  There has been considerable expansion in the use of flexible cystoscopy (FC) and people who can perform the procedure. Hence, there is a criticism that this procedure is being overused with no management benefit.
  
  
  METHODS
  We audited the use of FC in a district hospital for a period of 1 year. The results of FC for non-standard indications (other than haematuria and check cystoscopy) were analysed for their diagnostic yield.
  
  
  RESULTS
  Of the 1,390 FCs performed, 295 were done for non-standard indications. 46.14% of these cystoscopies had positive findings. Cancer detection rate was 6.10%. Cystoscopy altered the management in 14.08% of patients and was supportive to diagnosis and management in 32.06%.
  
  
  CONCLUSIONS
  This procedure is certainly not overused and the ever-increasing requirement of this simple procedure has serious resource implications for the National Health Service.
authors.affiliation: The Whittington Hospital, London, UK. vivekanandan.kumar@icr.ac.uk
authors.forename: V
authors.initials: V
authors.lastname: Kumar
authors.forename: H R
authors.initials: HR
authors.lastname: Patel
authors.forename: S M
authors.initials: SM
authors.lastname: Nathan
authors.forename: R A
authors.initials: RA
authors.lastname: Miller
authors.forename: A H
authors.initials: AH
authors.lastname: Lawson
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D003558:Cystoscopy / Q000706:statistics & numerical data*; D006767:Hospitals, District / Q000706:statistics & numerical data*; D006801:Humans; D008485:Medical Audit / Q000706:statistics & numerical data; D012189:Retrospective Studies; D006113:United Kingdom / Q000453:epidemiology; D014570:Urologic Diseases / Q000175:diagnosis / Q000628:therapy; D014573:Urology Department, Hospital / Q000706:statistics & numerical data