Ultrasonography versus Cystoscopy for Diagnosing Cervical Cancer Metastasis to Urinary Bladder, Which One is More Accurate?

SUMMARY Purpose Cervical cancer is a prevalent gynecological malignancy that leads to mortality in women residing in underdeveloped nations. Precise diagnostics are essential for achieving a more favorable outcome, particularly in the later stages of the disease. This study aims to evaluate and compare the efficacy of ultrasonography and cystoscopy in identifying bladder involvement in patients with advanced cervical cancer. Methods A prospective study was conducted between January 2019 and June 2023 on 19 patients with advanced cervical cancer. The patients were examined with both ultrasonography and cystoscopy to diagnose bladder involvement. Subsequently, the patients were assessed for the presence or absence of bladder involvement using an ultrasound scan and a cystoscopy. Results 10 out of 19 patients showed bladder involvement on cystoscopy, while the others showed no bladder involvement on cystoscopy. Out of the 13 patients with clinical non-hematuria, nine show cystoscopy with no bladder involvement. Ultrasonography showed bladder involvement in 17 cases. Therefore, in this study, ultrasound was 89% sensitive in detecting bladder involvement in cervical cancer. Conclusion In advanced cervical cancer, ultrasonography may identify bladder invasion more precisely than cystoscopy.