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[Two cases of encrusted cystitis].

Hiroki Ohara1, Koji Yoshimura, Naoki Terada

  • 1Department of Urology, Kurashiki Central Hospital.

Hinyokika Kiyo. Acta Urologica Japonica
|March 23, 2004
PubMed
Summary

Encrusted cystitis, a severe bladder condition with calcifications, requires prompt diagnosis and treatment. Early intervention involving plaque excision, antibiotics, and urine acidification improves patient outcomes.

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Area of Science:

  • Urology
  • Nephrology
  • Pathology

Background:

  • Encrusted cystitis is a chronic bladder inflammation characterized by alkaline urine and calcifications.
  • This severe condition often affects elderly patients with co-existing severe anemia.

Observation:

  • Two elderly patients presented with gross hematuria, urinary frequency, and dysuria.
  • Diagnostic workup revealed alkaline urine (pH 8-9), Corynebacterium Group D2 in urine cultures, and significant bladder wall calcification on CT and transurethral resection.

Findings:

  • The patients were diagnosed with encrusted cystitis based on clinical presentation and diagnostic findings.
  • Histopathology confirmed bladder wall calcification and inflammatory changes.

Implications:

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  • Prompt diagnosis and multidisciplinary treatment, including surgical plaque removal, targeted antibiotics, and urine acidification, are crucial.
  • Early management of encrusted cystitis can prevent disease progression and alleviate patient symptoms.