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[Case of cystitis glandularis causing bilateral hydronephrosis]
Motohiro Maeda1, Takaki Hirabayashi, Yoshihiro Inuzuka
1Department of Urology, Kariya Toyota General Hospital. m-mo-to-hi-ro@med.nagoya-u.ac.jp
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|November 6, 2013
Summary
Cystitis glandularis, a rare bladder condition, can cause obstructive symptoms like hydronephrosis. This case highlights successful treatment with transurethral resection and oral steroids, leading to no recurrence.
Area of Science:
- Urology
- Pathology
- Oncology
Background:
- Bilateral hydronephrosis in a 38-year-old male prompted investigation.
- Urinary tract obstruction can present with significant renal complications.
Observation:
- Cystoscopy identified multiple edematous papillary tumors throughout the prostatic urethra, bladder neck, trigone, and lateral bladder walls.
- The patient presented with symptoms indicative of bladder outlet obstruction.
Findings:
- Pathological diagnosis confirmed cystitis glandularis, a benign but potentially obstructive condition.
- Transurethral resection of bladder tumors (TURBT) was performed.
- Post-operative treatment involved 6 months of oral steroid therapy.
Implications:
- This case demonstrates the successful management of cystitis glandularis causing hydronephrosis.
- A combination of surgical resection and medical therapy (steroids) achieved a favorable outcome.
- Long-term follow-up confirmed no signs of recurrence after 2 years, suggesting effective treatment protocols.
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