The Organization of Medical and Diagnostic Aids for Patients with Schistosoma Haematobium Invasion of Urinary System Startsev V. Yu.1,*, Oriol V.I.1, Kolmakov A. Yu.2, Asfandiyarov F.R.2, Luchkevich V.S.3 1St. Petersburg State Pediatric Medical University, 2, Lytovskaya Str, Saint-Petersburg 2Astrakhan State Medical University, 121, Bakinskaya Str., Astrakhan 3North-Western State Medical University Named After I.I. Mechnikov, 47, Piskariovsky prospect, Saint-Petersburg, Russia *Corresponding Author: Vladimir Yu. Startsev, St. Petersburg State Pediatric Medical University of the Russian Federation, Ministry of Health, 2, Lytovskaya, Str., Saint-Petersburg, 194100, Russia, e-mail: doc.urolog@gmail.com
Online published on 23 December, 2019. Abstract Background and Purpose The aim of the study was to improve the diagnostic and treatment approach in the provision of medical care for patients with Schistosoma-associated bladder cancer (SA-BC). Material and Method The survey results of 56 patients with gross hematuria in medical institutions of the province Benguela (Angola) since 2007 to 2012 has been studied. Group A (n=35) included patients before applying the standardized diagnostic algorithm. Group B (n=21) included patients using the new organizational format, which included using hospital outpatient care structures. Results The progression to locally advanced stage of SA-BC was verified at significantly higher rate (80%). In patients from group A, while verified locally advanced SA-BC stays at low level (66, 7%) in group B. Conclusions The combined usage of urine cytology test, ultrasonography and cystoscopy at the increased proliferative process caused by Schistosoma Hematobium (SH) allows to reveal diagnose SA-BC in early stages, subject to on condition of patients admission in hospital outpatient care structures of specialized medical institutions. Top Keywords Schistosoma haematobium, Schistosoma-associated bladder cancer, radical cystectomy, hospital outpatient care, short-term hospital. Top |