title: Incidence of bladder cancer in a one-stop clinic.
abstract: OBJECTIVE
  The aim of this study is to demonstrate the importance of transvaginal scan (TVS) in the detection of bladder tumors in patients presenting with postmenopausal bleeding.
  
  
  METHODS
  We examined the case records of all patients that attended a one-stop clinic between September 2001 and May 2004. Those presenting with postmenopausal bleeding (PMB) underwent transvaginal scan and endometrial pipelle sampling. Where bladder pathology was detected, urine cytology was done before referral to the urologist.
  
  
  RESULTS
  In all, 753 women were referred. There were 17 cases of endometrial cancer detected. Three cases of bladder tumor (malignant transitional cell cancer) were found.
  
  
  CONCLUSIONS
  We recommend careful assessment of all pelvic organs in women presenting with PMB.
authors.affiliation: Department of Obstetrics and Gynecology, Royal Alexandra Hospital, Paisley, and Monkland Hospitals, Scotland, UK. ibrahimyakasai57@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Yakasai
authors.forename: M
authors.initials: M
authors.lastname: Allam
authors.forename: A J
authors.initials: AJ
authors.lastname: Thompson
mesh_terms: D003558:Cystoscopy; D016889:Endometrial Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D005260:Female; D006801:Humans; D010044:Outpatient Clinics, Hospital; D017698:Postmenopause; D012189:Retrospective Studies; D014463:Ultrasonography / Q000379:methods; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D014621:Vagina / Q000000981:diagnostic imaging*