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Eosinophilic cystitis.

P C Verhagen1, P G Nikkels, T P de Jong

  • 1Department of Urology, University Hospital Dijkzigt, PO Box 2040, 3000 CA Rotterdam, Netherlands.

Archives of Disease in Childhood
|March 22, 2001
PubMed
Summary
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Eosinophilic cystitis, a rare bladder condition, presents with urinary symptoms and can mimic bladder tumors. A conservative approach with monitoring is often effective, especially in children.

Area of Science:

  • Urology
  • Pediatric Urology
  • Pathology

Background:

  • Eosinophilic cystitis is a rare bladder inflammation with unknown etiology.
  • Symptoms include urgency, frequency, abdominal pain, and hematuria, often mimicking bladder tumors.

Observation:

  • Four cases are presented, with three initially suspected of having bladder tumors based on symptoms and ultrasound.
  • One case was diagnosed via random bladder biopsy in patients with unexplained irritable micturition.

Findings:

  • Treatment varied: one patient had surgical excision, one received medication without relief, and two resolved spontaneously with conservative management.
  • Spontaneous resolution of bladder pathology and symptoms occurred in two conservatively managed patients.

Implications:

Related Experiment Videos

  • Eosinophilic cystitis can present insidiously, requiring careful diagnosis.
  • A 'wait and see' approach after biopsy is often justified due to the tendency for spontaneous symptom resolution, particularly in pediatric cases.
  • Routine bladder biopsies for unexplained pediatric bladder symptoms are not recommended.