[Eosinophilic cystitis: a report of 2 cases]

Area of Science:

• Urology
• Pathology

Background:

• Eosinophilic cystitis is a rare inflammatory condition of the bladder.
• It presents with diverse symptoms and can be associated with allergies or other conditions.

Observation:

• Case 1: A 39-year-old male with a history of allergies presented with pollakisuria, dysuria, and hematuria. Imaging revealed hydroureter and bladder filling defects. Cystoscopy showed ulcerated mucosa, confirmed as eosinophilic cystitis by biopsy.
• Case 2: A 67-year-old female with a history of uterine cancer treated with irradiation presented with hematuria. Cystoscopy revealed intravesical coagula and inflamed bladder mucosa with petechiae. Biopsy confirmed both hemangioma and eosinophilic cystitis.

Findings:

• Eosinophilic cystitis can manifest with urinary symptoms and bladder mucosal changes.
• Histopathological examination is crucial for diagnosis.
• Successful treatment varied, with steroids and antihistamines for Case 1 and coagula removal for Case 2.

Implications:

• This report highlights the varied presentations and management of eosinophilic cystitis.
• Early diagnosis and appropriate treatment are key to symptom resolution.
• Further research into the etiology and optimal therapeutic strategies for eosinophilic cystitis is warranted.