Hi...thanks in advance for any guidance on this...I'm feeling a bit lost
Appx 2 weeks ago experienced a painless gross hematuria (late 30's male no "risk factors")
Went to ER, ruled out UTI...CT Urogram showed a 7-8mm stone on left side and a small one + cyst on the other. No kidney stone pain though.
2 years ago had a scan for some stomach issues, these stones were not present.
I did have some elevated protein in my urine at the ER.
Had a cystocopy yesterday which showed some prostate inflammation but a clear bladder, at Brigham and Women's here in Massachusetts.
The cytology report notes:
FINAL CYTOLOGIC INTERPRETATION
INTERPRETATION:
NO MALIGNANT CELLS IDENTIFIED.
DIAGNOSIS:
Urothelial cells, some in clusters, abnormal in a voided urine.
NOTES AND RECOMMENDATIONS:
NOTE: Clusters of urothelial cells in a voided specimen may be associated with
such conditions as prior instrumentation or stones, but also raise the
possibility of a papillary urothelial cell tumor. Follow-up is recommended.
The Dr explained this could be from the stones I have (on both sides) and also from the prostate inflammation he saw during the scope which he suspects was more inflammed 2 weeks ago and likely caused the hematuria.
So I don't know much about cytology except if it's positive it's likely to be accurate? The Dr was very unconcerned with this finding and said we could do a follow up one in 6 months along with the ultrasound to see how the kidney stones look. He doesn't want to remove them unless they cause symptoms (they are lower pole right now so no urgency I guess).
Should I be concerned about this cytology result in light of my other testing? Should I have more scopes done?
Some browsing around the web shows prominent doc's putting very little weight on these "atypical" results especially in the face of a clean cystoscopy.