IMPROVED ALGORITHM FOR THE DIAGNOSIS OF BLADDER CANCER DUE TO URINARY SCHISTOSOMIASIS
Schistosomiasis retains the second place in the world for prevalence among parasites, after malaria. The penetration of Schistosoma haemotobium in the human urogenital system frequently leads to the development of urinary schistosomiasis, able to transform into squamous cell carcinoma of the bladder. Migration of the population, an increase in areal spread of that disease in Asia and Europe and high incidence at patients of young age, characterizes this disease as socially significant. The recommendations of the World Health Organization experts determined measures of primary and secondary prevention of schistosomiasis. However, there is no information on the procedure for therapeutic and diagnostic measures in patients with bladder cancer associated with urinary schistosomiasis.The article presents an algorithm of evaluation the patients with urinary schistosomiasis, allowing to determine the onset of neoplastic growth in the bladder in time and to treat patients with cancer at early stages. We report the data of the most important clinical and organizational approaches for early diagnosis of urinary schistosomiasis with the outcome in cancer, based on retrospective and prospective analyzes. The results of observation of patients with schistosome-based bladder cancer demonstrate new possibilities to preserve the high quality of life for patients by performing minimally invasive surgery. Optimization of organizational approach for diagnostic measures in hospital-replacement ward allows to reduce the time of examination the patients and to implement all steps of medical care for those patients in order.