Urine Cytology in Patients with Long Standing Dialysis

Abstract

Background: Dialysis is in common use to treat patients
with end stage renal failure .However longstanding dialysis
harboring some cellular changes in various body fluids.
This study was conducted in order to detect these changes
in urine.
Objective: The study was conducted to detect cellular
changes in urine of patients with longstanding dialysis.
Method: Fifty-three urine samples were examined
cytologically obtained from patients with longstanding
dialysis during 6 months period. Freshly voided midstream
urine samples were taken . Samples were centrifuged and 2
to 3 drops of sediments were smeared on 2 glass slides and
fixed in 95% ethyl alcohol then stained with Hand E stain
to be evaluated.
Results: Gross physical examination of all urine samples
were neither purulent nor hemorrhagic .Microscopically
there was increased exfoliation of urothelial cells except in
9 cases. No significant cytological atypia were seen in all
urine samples. Excessive exfoliation in the absence of
significant inflammation, hemorrhage and cytological
atypia compared with control group.
Conclusion: The study revealed that some cytological
changes do occur in the urothelial cells of patients with
longstanding dialysis. These changes need further attention
and study to disclose their causes.