Lynch Syndrome, Uterine And Colon Cancer, UTI. Cytoscopy And Retrogate Pyelogram Normal, Squamous Cells Seen. What Can Be Done, Advise?
As you know, you are at high risk of urothelial malignancy also (renal pelvis, ureter, and bladder). I understand that you are in the right line of approach in getting urine cytology checked on a regular basis.
If repeated cytology shows evidence of atypical cells, in addition to cystoscopy and RGP (Retrograde Pyelogram), your doctor might consider doing flexible ureteroscopy and biopsy if necessary from the ureter or the renal pelvis/calyces.
Also, urothelial malignancy presents as blood mixed with urine and not the way described by you. The presence of blood on wiping the area may be due to a local cause in the urethral opening or the adjacent vaginal wall. Your physician might consider doing a local examination to look for the same.
Regards