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[Three cases of proliferative cystitis causing hydronephrosis].
Naoki Matsumura1, Kiyoshi Hashimoto1, Yoshinari Katoh1
1The Department of Urology, Kaizuka City Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|August 22, 2014
Summary
Proliferative cystitis can cause hydronephrosis, a rare condition. Transurethral resection of the bladder tumor (TURBT) is effective, though some cases require further intervention like ureteralileostomy.
Area of Science:
- Urology
- Pathology
Background:
- Proliferative cystitis is a rare condition.
- It can lead to significant urinary tract issues like hydronephrosis.
Observation:
- Three patients presented with symptoms including painful urination, gross hematuria, and urinary frequency.
- Cystoscopy revealed papillary sessile tumors from the bladder neck to the orifice.
Findings:
- Transurethral resection of the bladder tumor (TURBT) was performed due to lack of response to medical treatment.
- Pathological diagnosis confirmed cystitis glandularis (intestinal or typical type) without malignancy.
- Hydronephrosis resolved in two patients post-TURBT; one required ureteralileostomy.
- No tumor recurrence was observed five years after treatment.
Implications:
- This case series highlights the importance of recognizing and managing proliferative cystitis.
- Surgical intervention, such as TURBT, is a viable treatment option.
- Further management may be necessary for persistent hydronephrosis.
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