New Horizons for Observation of Patients with the Bladder Cancer Associated with Schistosoma haematobium Invasion

Abstract

Background and Purpose: The aim of the study was to improve the diagnostic and treatment approach for the medical care for patients with Schistosoma-associated bladder cancer (SA-BC). Material and Methods: The survey results the study of 56 patients with gross hematuria in medical institutions of the Province Benguela (Angola) since 2007 to 2012. Group A (n=35) included patients before applying the standardized diagnostic algorithm. Group B (n=21) included patients using the new organizational format, in hospital outpatient’s. 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. Conclusion: The combined usage of urine cytology test, ultrasonography and cystoscopy at the increased proliferative process caused by Schistosoma haematobium (SH) allows to reveal diagnose SA-BC in early stages, subject to on condition of patient’s admission in hospital outpatient care structures of specialized medical institutions.