Eosinophilic Cystitis Presenting as Urinary Retention

Ouden, D. van den; Kaam, N. van; Eland, D.

doi:10.1159/000056557

Cited by 12 publications

(19 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As in our 1 case, when the lesion was located at or near the bladder neck, it presented as urinary retention [6]. Sometimes asymptomatic cases, as in our specific case, were identified during routine cystoscopic surveillance of bladder carcinoma [5].…”

Section: Resultssupporting

confidence: 50%

Eosinophilic Cystitis

Kılıç

Erguvan²,

İpek³

et al. 2003

Urol Int

View full text Add to dashboard Cite

Purpose: We present a large series of eosinophilic cystitis including 8 cases; 3 of them had tumor-like lesions. Materials and Methods: The archives of pathology clinic of Inonu University Medical Faculty were reviewed from 1988 to 2002. The characteristics of patients and their diseases were recorded. Data obtained from 180 cases (172 from the literature and 8 from the present series) was assessed. Results: Seven cases had symptoms such as dysuria, frequency, hematuria, suprapubic pain, and difficulty in voiding. One asymptomatic case with history of bladder carcinoma was diagnosed during routine cystoscopy. The findings were microhematuria in 6 cases, macrohematuria in 2, pyuria in 3, urinary infection in 1, eosinophilia in 1, hyperazotemia in 1, and bladder masses in 3. Cystoscopies detected edematous and erythematous areas in 5 cases and lesions mimicking bladder carcinoma in 3. One case did not take further treatment after cystoscopy and biopsy and completely recovered. Four cases underwent medical therapy with nonsteroidal anti-inflammatory drugs and antihistaminics. They became asymptomatic and control cystoscopies showed no abnormal finding. Two of three patients with mass lesions recovered after steroid therapy following transurethral resection. The lesion in the third recurred and he improved after a second course of steroid therapy. Conclusions: Eosinophilic cystitis is a rare pathology. Sometimes, it may simulate bladder malignancies. Biopsy is mandatory at diagnosis. Usually, it has a benign course and may be treated with fulguration, analgesics, antihistaminics and steroids, although recurrence is possible.

show abstract

Section: Resultssupporting

confidence: 50%

Eosinophilic Cystitis

Kılıç

Erguvan²,

İpek³

et al. 2003

Urol Int

View full text Add to dashboard Cite

show abstract

“…Treatment of underlying infection and/or immune suppression has had variable success 2 6 7. Owing to the rareness of eosinophilic cystitis, gold standard guidelines for its management have not yet been established.…”

Section: Discussionmentioning

confidence: 99%

“…In the chronic phase, eosinophilia is not significant but rather chronic inflammation is present with scarring 3–5. Clinically, patients may present with dysuria, frequency, haematuria, supra-pubic pain, urinary retention, impaired renal function or asymptomatically 2 6 7. All age groups are affected and there is equal distribution among the adult sexes 2.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Eosinophilic cystitis: treatment with intravesical steroids and oral antihistamines

2013

View full text Add to dashboard Cite

SUMMARYThis is a case of eosinophilic cystitis in a 56-year-old indigenous Australian woman who presented with urosepsis on the background of a urinary tract infection unresponsive to oral antibiotics. After resolution of the urosepsis, she had persisting urinary retention and a cystoscopy/bladder biopsy suggested eosinophilic cystitis. After 1 month of intravesical hydrocortisone and oral loratadine, repeat cystoscopy showed vast improvement in the bladder lesions. This case further strengthens the use of intravesical steroids and oral antihistamines for the management of eosinophilic cystitis. BACKGROUND

show abstract

“…Rarely, urinary retention might be labelled 'psychogenic' [ 17 ], but this should be used with considerable caution. CNS infl ammation (sacral herpes, meningitis) [ 18 ], uterine fi broid [ 19 ], cytomegalovirus [ 20 ] and eosinophilic cystitis [ 21 ] have been described in case reports. Pelvic organ prolapse is an important consideration, as distortion of the urethra can cause partial BOO when anterior vaginal descent affects the bladder base.…”

Section: Causes and Management Of Female Boomentioning

confidence: 99%

Outlet Obstruction in Women

Renninson

Mevcha

Parsons

2014

Bladder Dysfunction in the Adult

View full text Add to dashboard Cite

Female voiding requires co-ordinated bladder contraction and outlet relaxation. Failure of the outlet to accommodate urine fl ow can occur in various circumstances in women. This chapter describes the diverse nature of the problem and its management, along with some of the limitations in the evidence base which make this a challenging clinical problem. Of these, one of the most important is the recognition that impairment of bladder contractility is common in older women [ 1 ] and this could cause overdiagnosis of bladder outlet obstruction (BOO). BOO may be asymptomatic, cause voiding LUTS, or complete obstruction resulting in inability to void (acute urinary retention-which is usually painful emergency). However, assessing the bladder contractility is diffi cult in women, and this hinders decisionmaking regarding diagnosis of BOO. Until the ability to agree defi nitions, and subsequently approaches to diagnosis, management of BOO in women will remain a clinical challenge.Retention in women results from a diverse set of conditions, which makes research into its epidemiology diffi cult. Most studies are small case series, or case reports with unusual causes. Part of the diffi culty in estimating prevalence rates of obstruction relates to the fact that unlike for men, there are no universally accepted or standardised criteria for diagnosing the condition in women. Voiding symptoms have been shown to have a poor predictive value for diagnosing female voiding dysfunction, rarely exist in isolation and often occur in association with storagerelated symptoms [ 2 -4 ]. The true prevalence of BOO in women is unknown, but estimates from large retrospective studies range from 3 to 8 % [ 3 -6 ]. A Scandinavian study revealed an incidence of AUR in women of seven per 100,000 population per year [ 7 ]. Defi ning Urinary ObstructionBOO can be diagnosed on the basis of urodynamic studies, as in men (see Chap. 4 ). BOO has been defi ned as detrusor pressure of 60 cm of water (cm H 2 O) or more, with a peak urine fl ow rate of less than 15 mL/s, though this was derived from measurements in a small number of women [ 8 ]. Another study derived criteria from evaluation of the videourodynamic studies of 261 women for non-neurogenic voiding function and defined BOO as radiographic evidence of obstruction between the bladder neck and the distal urethra in the presence of a

show abstract

Eosinophilic Cystitis Presenting as Urinary Retention

Cited by 12 publications

References 12 publications

Eosinophilic Cystitis

Eosinophilic Cystitis

Eosinophilic cystitis: treatment with intravesical steroids and oral antihistamines

Outlet Obstruction in Women

Contact Info

Product

Resources

About