Diagnóstico y tratamiento de la cistitis incrustante

Favre, G.; García-Marchiñena, Patricio; Bergero, Miguel Ángel; Dourado, Luciana Oliveira Cascaes; González, Matías Ignacio; Tejerizo, Juan Carlos

doi:10.1016/j.acuro.2009.11.008

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Encrusted cystitis (EC), first described in 1914 [1], is a chronic bladder inflammation with ulceration characterized by calcific plaques, causing troubling urinary symptoms as dysuria and gross hematuria, occurring in immunocompromised patients submitted to renal transplantation or in patients who had undergone urological procedures [1, 2, 3, 4, 5]. In fact, the bacteria causing the disease are implanted in a bladder wall already altered by tumor, inflammatory condition, transurethral resection, and long-term catheterization.…”

Section: Purposementioning

confidence: 99%

“…The modification of urine pH favors the precipitation of urinary salts into the bladder mucosa. The characteristic encrustations of the bladder and the walls of other parts of urinary system are detected by cystoscopy, ultrasound, and radiological exams [1, 2, 3, 4, 5, 6, 7]. Until now, only the report from Parra Muntaner et al [2] in 1996 reported on the occurrence of EC in a patient who had undergone surgery and pelvic radiotherapy (RT) for gynecological cancer.…”

Section: Purposementioning

confidence: 99%

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Encrusted cystitis after definitive radiotherapy for cervical cancer: a case report

Perrucci

Lancellotta

Benedetto

et al. 2016

jcb

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PurposeEncrusted cystitis is a rare chronic inflammatory disease characterized by calcified plaques of the bladder, previously altered by varies conditions as urological procedures, caused by urea-splitting bacteria. Only one case has been reported on encrusted cystitis occurring after surgery and radiation therapy for a pelvic neoplasm. We report on encrusted cystitis occurred after definitive radiotherapy for bulky uterine cervix cancer, and examine the doses to the bladder wall and the procedure of radiation treatment performed as a possible cause of the onset of the disease.Case presentationA 52-year-old female developed encrusted cystitis, caused by Corynebacterium spp., after 14 months from definitive chemo-radiotherapy and 2/D brachytherapy treatment for FIGO stage IB2 uterine cervix cancer. For pelvic radiotherapy, the mean bladder dose was 48.47 Gy (range 31.20–51.91); maximal bladder point doses at each brachytherapy insertions were 7.62 Gy, 4.94 Gy and 6.27 Gy at first, second, and third fraction, respectively. Total biological effective dose (BED) at bladder point was 140.05 Gy3. The patient was administered antibiotic therapy with linezolid and urine acidification with vitamin C; dietary norms were also suggested. After therapy, complete remission of symptoms and radiological findings were achieved, and the planned surgery for removing the calcified plaques was not completed. After 5 years from the cervical cancer diagnosis, the patient was disease-free without urinary symptoms.ConclusionsThe high doses administered to the bladder wall and the repeated catheterizations performed at each brachytherapy insertions may have favored the infection and promoted the occurrence of the encrusted cystitis.

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Section: Purposementioning

confidence: 99%

Section: Purposementioning

confidence: 99%

Encrusted cystitis after definitive radiotherapy for cervical cancer: a case report

Perrucci

Lancellotta

Benedetto

et al. 2016

jcb

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“…C. urealyticum grows slowly and is often missed in rapid urine cultures, especially if the bacterial load is low, and thus presents a potential diagnostic challenge[ 2 ]. The diagnosis should be based on sterile pyuria, alkaline urinary pH and characteristic calcifications of the bladder wall as observed by computed tomography and confirmed by prolonged culture, supplemented with DNA polymerase chain reaction sequencing if available[ 4 , 5 ]. Treatment of EC consists of three complementary elements: Treatment of infection; acidification of urine; and endoscopic removal of encrustations containing microorganisms[ 1 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Successful treatment of encrusted cystitis: A case report and review of literature

Xie

2020

WJCC

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BACKGROUND Encrusted cystitis (EC) is a chronic inflammation of the bladder associated with mucosal encrustations. Early diagnosis and optimal treatment are not well established. Here, we report a case of EC successfully treated with com-bination therapy. CASE SUMMARY A 27-year-old man presented with frequency, urgency, dysuria, gross hematuria and suprapubic pain for 2 mo. He was diagnosed with EC based on characteristic calcifications of the bladder wall (most of them were struvite), cystoscopy and histopathological examination. He was cured after combined therapy of elimination of encrustations, bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into bladder submucosal tissue. CONCLUSION Bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into the bladder submucosal tissue can be used for treatment of EC.

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“…Los pacientes que sufren incontinencia se sienten con frecuencia avergonzados por lo que tienden a ocultar esta dolencia a la familia. Uno de los mayores problemas para conocer este padecimiento es la ocultación por parte del paciente: por sentimiento de culpa, negación o incluso considerar que el problema forma parte de la edad (72). Parece que afecta a muchas áreas de la vida de un individuo, incluyendo las actividades sociales, domésticas, físicas, ocupacionales y de ocio.…”

Section: 132dimension Psicológicaunclassified

“…La etiología y la fisiopatogenia de esta patología son aún desconocidas, aunque se han planteado varias hipótesis para explicarla. A mediados de 1920, Hager y Magath asociaron esta entidad a la presencia de microorganismos desdobladores de urea (72).…”

Section: 3210cistopatia Incrustanteunclassified

Factores clínicos, recursos diagnósticos y cuidados de enfermería que intervienen en el manejo del estudio y tratamiento de los síntomas miccionales irritativos en mujeres

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Diagnóstico y tratamiento de la cistitis incrustante

Cited by 6 publications

References 8 publications

Encrusted cystitis after definitive radiotherapy for cervical cancer: a case report

Encrusted cystitis after definitive radiotherapy for cervical cancer: a case report

Successful treatment of encrusted cystitis: A case report and review of literature

Factores clínicos, recursos diagnósticos y cuidados de enfermería que intervienen en el manejo del estudio y tratamiento de los síntomas miccionales irritativos en mujeres

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