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HelpTest Code LAB5001UT Cytology, Urinary Tract
Specimen Requirements
Fresh Urine (clean catch voided or catheterized), Urinary Tract Washings and brushings (all sites) in 120 mL sterile screw cap container.
5-60 mL.
Follow standard aseptic collection procedures for other urinary tract washings and brushing.
Brushings should be clipped, submitted in sterile container with at least 10 mL sterile isotonic saline to cover the brush.
Specimen Transport
If transit time more than 1 hour, transport to BAH lab with coolant pack; avoid freezing.
Non-EPIC clients: Transport in cooler with Non-Gyn order, patient demographics and billing information.
Unacceptable Criteria
12 and 24 hour unrine collections are not acceptable.
Specimens with added fixative, anticoagulant, or submitted in blood collection tubes. This severely limits the processing and interpretive quality of specimens.
Frozen specimens.
Unlabeled specimens.
Stability:
| Temperature | Time |
| Room Temp 18-28°C | 1 hours |
| Refrigerated 2–8°C | 72 hours |
| Frozen <0°C | Not acceptable |
Collection Instructions
Follow standard aseptic collection procedures. Specimens must be submitted fresh to BAH Lab.
Place labeled specimen container inside a biohazard bag.
Additional Information
Report provides interpretation. Contact the BAH Cytology Lab at (541) 269-8454 for further information.
All urinary tract specimens are reported using the Paris system nomenclature. The Paris system is a standardized classification system for the reporting of urinary tract cytology specimens. The Paris system is intended to establish reproducible findings, improve communication between pathologists and clinicians, and enhance patient management. It is of note that under the Paris system urinary tract specimens that are "Negative for Malignancy" are reported as "Negative for High-Grade Urothelial Carcinoma". The nomenclature reflects cytology's inherently low level of sensitivity for detecting Low Grade Urothelial Carcinoma, but high sensitivity for detecting High-Grade Urothelial Carcinoma. .
Test Limitation
Abnormal findings must be correlated with history and other test results.
Non-EPIC clients: Paperwork must include on order the patient's name and medical record number, date of birth, specimen source, collection date, clinic and phone number, clinician's full name, pager number, and pertinent clinical history. Other paperwork required: demographics and billing information.
All clients: Patient labels on specimen containers indicating laterality as appropriate.
Turnaround time: 2-3 days.
Test is only performed Monday-Friday, 0800-1630
Synonyms
CB Non-Gyn Cytology, LAB5001, Urine, Bladder Washing, Ureteral Washing and Brushing (left/right), Renal Pelvis Washing and Brushing (left/right), Bladder, Urinary Tract, Cytology
Department
Cytology