Contact Instructions for authors Search 2/2011 Share: Send email Copy url: Share: Share on facebook Share on linkedin Share on twitter Share on wykop More Sharing Servicesmore abstract: Acute urinary retention in a patient with extended cystitis glandularis

Abstract

Cystitis glandularis (CG) is defined as glandular metaplasia of bladder urothelium. In most cases the course of CG is asymptomatic. However, some patients complain of hematuria and lower urinary tract symptoms (LUTS) of varying degrees. We present a case of 45-year-old man with an extensive CG causing acute urinary retention. Although it was initially treated as an infection, prompt ultrasound and cystoscopy helped to establish the diagnosis. Transurethral resection of the cyst with biopsy of the bladder mucosa was then performed. Immediately after surgery the patient noticed significant improvement in urine passing. During the 2-month follow-up there was no relapse.

A Rare Case of Bilaterale Ureterohydronephrosis due to Cystitis Cystica Et Glandularis and Review of the Literature

“…The treatment of CCEG is usually performed by treating the underlying cause. Treatment of focal lesions in symptomatic patients generally involves removal by TUR, like we performed in our case [3,5,8]. Patients usually do not need supplementary treatment.…”

“…In most cases the course of CCEG is asymptomatic. However, some patients complain of hematuria, symptoms associated with the obstruction of the upper urinary tract, or lower urinary tract symptoms (LUTS) [5].…”

“…stones, indwelling catheterization, neurogenic bladder, or even tumors [1,4]. CCEG has been shown to be more frequent in patients with pelvic lipomatosis [5].…”

“…CCEG is generally a microscopic detection and very seldomly present large appearing macroscopic lesions. However, some patients complain of hematuria, symptoms connected with the obstruction of the upper urinary tract, or LUTS [5,8]. The main symptoms of cystitis glandularis accompanied with upper urinary tract obstruction are renal colic and abdominal pain, and the symptom in most cystitis glandularis without upper urinary tract obstruction are frequency, urgency, dysuria, hematuria and fever.…”

Images – A rare case of Brunn’s cyst causing obstructive lower urinary tract symptoms in a young male

“…Cystitis glandularis can also cause hematuria and has been reported to cause acute urinary retention. 7 Infravesical cystic lesions in the prostate are rare, but have been reported to be associated with lower urinary tract symptoms as well. 8 Most prostatic cystic lesions are found incidentally on imaging and can been classified as medial cysts, cysts of the ejaculatory duct, parenchymal cysts, infectious cysts, cystic tumours, or cysts secondary to parasitic disease.…”